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
Explanation
A. Mild exercise like gardening may be suitable for some clients with leukopenia, but it is not a specific precaution related to their immune status.
B. Clients with leukopenia have reduced white blood cell counts, making them more susceptible to infections. Avoiding crowds helps reduce the risk of exposure to infectious agents.
C. Monitoring oral temperature weekly is important for early detection of infection.
However, it should be done more frequently, daily and not weekly.
D. While eating plenty of fresh fruits and vegetables is generally beneficial for overall health, a patient with leukopenia is encouraged to eat cooked foods due to their low immunity.
Correct Answer is C
Explanation
A. Allergic responses typically involve an increase in eosinophils rather than lymphocytes.
B. While an inflammatory response may involve an increase in lymphocytes, the presentation of clear nasal drainage and cough with bilateral rales suggests a respiratory infection rather than a generalized inflammatory process.
C. Elevated lymphocytes are often indicative of a viral infection, as the body mounts an immune response to fight off the viral invader.
D. Bacterial infections typically involve an increase in neutrophils rather than lymphocytes, although lymphocytosis may occur in some bacterial infections as part of the immune response.
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