Nokea
Laboratory findings that the nurse would expect to be present in the patient with RA include
- A. polycythemia.
- B. increased immunoglobulin G (IgG).
- C. decreased white blood cell (WBC) count.
- D. anti-citrullinated protein antibody (ACPA).
Correct Answer: D
Rationale: ACPA is specific to RA.
You may also like to solve these questions
What kind of loss does the nurse recognize this to be?
- A. Delirium
- B. Memory loss in AD
- C. Normal forgetfulness
- D. Memory loss in mild cognitive impairment
Correct Answer: C
Rationale: Forgetting names and birthdays is typical of normal forgetfulness
A few weeks after the injury, the nurse notices that Joe seems to be pulling his legs away from her during the bath. Which of the following statements provides the best explanation of the patient's leg movement?
- A. He is embarrassed about having to be bathed
- B. Muscle spasms are beginning to occur
- C. Paralysis is diminishing due to reduction in edema
- D. He is adjusting negatively to his disability
Correct Answer: B
Rationale: Muscle spasms are common in spinal cord injury recovery.
Meningeal sign is the following:
- A. Babinsky
- B. Kernig
- C. Lasseg
- D. Romberg
Correct Answer: B
Rationale: Kernig's sign is the correct answer because it is a clinical sign of meningeal irritation, often seen in meningitis. It is elicited by attempting to extend the knee while the hip is flexed, which causes pain and resistance due to inflammation of the meninges.
The nurse notes that a patient is not able to voluntarily move the right arm. Which part of the brain should the nurse suspect is affected in this patient?
- A. Cerebellum
- B. Frontal lobe
- C. Parietal lobe
- D. Hypothalamus
Correct Answer: B
Rationale: The frontal lobes contain the motor areas that generate the impulses that bring about voluntary movement. Each motor area controls movement on the opposite side of the body. The cerebellum is responsible for coordination and balance, while the parietal lobe processes sensory information. The hypothalamus regulates autonomic functions and is not directly involved in voluntary movement.
What do we call the layer of fatty tissue surrounding the axon of some neurons?
- A. cutaneous coating
- B. myelin sheath
- C. dendritic barrier
- D. synaptic sleeve
Correct Answer: B
Rationale: The myelin sheath is a layer of fatty tissue that surrounds the axons of some neurons, providing insulation and increasing the speed of electrical signal transmission. Myelin is produced by glial cells, such as oligodendrocytes in the central nervous system and Schwann cells in the peripheral nervous system. Damage to the myelin sheath, as seen in conditions like multiple sclerosis, can impair neural communication and lead to neurological symptoms.