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 ["A","B","C","D","E"]
Explanation
A. Encouraging the client to cough and deep breathe helps to maintain clear airways and prevent respiratory infections.
B. Turning the client every 2 hours is important for preventing pressure ulcers and maintaining skin integrity.
C. Keeping the skin clean and dry helps to prevent skin breakdown and infections, serving as a barrier against pathogens.
D. Applying lotion to clean skin may keep the skin moisturized hence preventing skin breakdown.
E. Urinary incontinence is associated with skin breakdown hence the development of bedsores. Therefore, assisting the client with voiding is important for maintaining urinary function and skin integrity.
Correct Answer is A
Explanation
A. Standard precautions include the use of gloves, gowns, masks, eye protection, or face shields, depending on the anticipated exposure. Wearing gloves and a gown is appropriate when there is a risk of exposure to bodily fluids, which can occur when bathing a client with open skin lesions. This approach helps prevent the transmission of infections.
B. The UAP does not need to wear gloves when taking blood pressures on all clients unless there is a risk of exposure to blood or body fluids.
C. While wearing gloves, a gown, and an N95 mask may be appropriate for certain situations involving airborne precautions (e.g., tuberculosis), it is not necessary for standard precautions when caring for a client with diarrhea.
D. This is an overuse of gloves and does not align with standard precautions, which recommend using gloves only when there is or may be contact with blood, bodily fluids, secretions, excretions, contaminated items, or mucous membranes.
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