Test Bank Advanced Practice Nursing in the Care of Older Adults2nd EditionKennedy-Malone

Test Bank Advanced Practice Nursing in the Care of Older Adults2nd EditionKennedy-Malone
1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated. Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis andcomplete blood count (CBC). The total assessment is necessary because:
1. All body systems interact, and symptoms could indicate a variety of diagnoses. 2. The symptoms are vague and may be signs of aging. 3. There may be other signs or symptoms more indicative of the condition. 4. Mrs. Smith may not be reporting all significant information. - 1. Answer: 1
Page: 2
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1. The clinician must be aware that all the systems interact and, in doing so, can increase the older
person's vulnerability to illness/disease. 2. The nurse must not attribute symptoms only to the aging process. 3. There may be comorbidities accompanying this condition. 4.Assumptions of not reporting properly may not be true. 2. A patient with renal disease has blood work drawn, and the results show an increase in serumcreatinine. The nurse practitioner needs to know which of the following laboratory values before
ordering medications?
1. CBC
2. Culture and sensitivity of the urine
3. Creatinine clearance
4. Uric acid levels - 2. Answer: 3
Page: 3
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1. A CBC will not evaluate kidney function for a patient with renal disease.

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