A client is suspected to have rheumatoid arthritis and is awaiting lab reports. Which of the following lab would the nurse anticipate to be found?
positive RF factor
positive CA 125
increased WBC
decreased ESR
The Correct Answer is A
A. Rheumatoid factor (RF) is often elevated in individuals with rheumatoid arthritis.
B. CA 125 is a tumor marker used primarily for detecting ovarian cancer and is not specific to rheumatoid arthritis.
C. While increased white blood cell count (WBC) may occur in inflammatory conditions like rheumatoid arthritis, it is not specific to the disease.
D. In rheumatoid arthritis, the erythrocyte sedimentation rate (ESR) is typically elevated rather than decreased.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E","F","H","J"]
Explanation
A. While encouraging fluid intake is generally beneficial, this action alone may not adequately address the client's respiratory distress.
B. Obtaining the client's vital signs and noting changes from previous readings is essential for assessing the client's condition and response to interventions.
C. Administering antitussive medication may not be appropriate as the client is able to expectorate secretions, and suppressing the cough may hinder clearance of secretions.
D. Positioning the client in a high-Fowler position helps improve lung expansion, aiding in respiratory effort.
E. Increasing the supplemental oxygen flow can help alleviate respiratory distress by improving oxygenation.
F. Calling the respiratory therapist for a nebulizer treatment is appropriate, especially since the client reported previous relief with this intervention.
G. Increasing IV fluids may not directly address the client's respiratory distress and should be based on fluid status and other clinical indications.
H. Documenting findings and actions taken ensures proper communication and continuity of care.
I. Contacting the Rapid Response Team may not be necessary as the client is alert and oriented and not in immediate distress.
J. Listening to the client's breath sounds allows the nurse to compare with previous findings and evaluate respiratory status.
Correct Answer is D
Explanation
A. Chemotherapy can cause side effects such as stomatitis and alopecia but is not typically prescribed solely to treat these side effects.
B. While chemotherapy aims to kill cancer cells, complete eradication of all tumor cells in the body is often not achievable.
C. Chemotherapy-induced bone marrow suppression is a potential side effect of treatment and is managed with supportive care measures, but preventing these symptoms is not the primary goal of palliative chemotherapy.
D. Palliative chemotherapy is aimed at providing relief from symptoms caused by cancer, such as pain, fatigue, and other symptoms associated with advanced disease, rather than focusing on cure or tumor eradication.
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