A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours.
Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?
Erythrocyte sedimentation rate (ESR).
White blood cell (WBC) Count.
Rheumatoid factor (RF).
Antinuclear antibody (ANA).
The Correct Answer is A
Choice A rationale:
The ESR is a common blood test that measures how quickly red blood cells settle at the bottom of a test tube. Inflammation can cause the cells to settle faster, and this test can be used to monitor the effectiveness of anti-inflammatory treatments like aspirin.
Choice B rationale:
The WBC count is a measure of the body’s immune response and is not directly affected by aspirin.
Choice C rationale:
The RF is a specific marker for rheumatoid arthritis, but it does not change with aspirin treatment.
Choice D rationale:
The ANA is a test used to help diagnose autoimmune disorders, and it is not affected by aspirin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Inspecting the mouth for signs of inhalation injuries is the priority action. Inhalation injuries can lead to airway obstruction and respiratory failure, which are life-threatening conditions.
Choice B rationale:
Administering intravenous pain medication is important, but it is not the priority. Pain management is necessary but secondary to life-threatening conditions.
Choice C rationale:
Inserting an indwelling urinary catheter is done to monitor renal function and fluid balance, but it is not the priority action in this case.
Choice D rationale:
Drawing blood for a complete blood cell (CBC) count is done to assess the client’s overall health status, but it is not the priority action.
Correct Answer is A
Explanation
The correct answer is choicea. Family history.
Choice A rationale:
Family history is a well-known risk factor for urolithiasis.If a close relative has had kidney stones, the likelihood of developing them increases due to genetic predispositions.
Choice B rationale:
A BMI less than 25 is generally considered normal or healthy weight and is not typically associated with an increased risk of urolithiasis.In fact, obesity is more commonly linked to a higher risk of kidney stones.
Choice C rationale:
Hypocalcemia, or low calcium levels in the blood, is not a common risk factor for urolithiasis.High calcium levels in the urine (hypercalciuria) are more often associated with the formation of kidney stones.
Choice D rationale:
Diuretic use can sometimes be associated with kidney stones, but it depends on the type of diuretic.Thiazide diuretics, for example, are often used to prevent calcium stones by reducing calcium excretion in the urine.
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