Nokea
Of the clients listed below, who is at risk for developing rheumatoid arthritis (RA)? Select all that apply.
- A. Adults between the ages of 20 and 50 years.
- B. Adults who have had an infectious disease with the Epstein-Barr virus.
- C. Adults that are of the male gender.
- D. Adults who possess the genetic link, specifically HLA-DR4.
- E. Adults who also have osteoarthritis.
Correct Answer: A,B,D
Rationale: Rheumatoid arthritis is more common in adults aged 20-50, has a genetic association with HLA-DR4, and may be linked to Epstein-Barr virus. Males are less likely than females to develop RA, and osteoarthritis is a distinct condition.
You may also like to solve these questions
The nurse is caring for a client prescribed amphotericin b for a systemic fungal infection. The nurse should anticipate a prescription for which medication before the infusion? Select all that apply
- A. Diphenhydramine
- B. Acetaminophen
- C. 0.9% saline bolus
- D. Regular insulin
- E. Sodium bicarbonate
Correct Answer: A,B,C
Rationale: Amphotericin B infusions can cause infusion reactions and nephrotoxicity. Choice A (diphenhydramine) and Choice B (acetaminophen) are given to prevent infusion reactions like fever and chills. Choice C (0.9% saline bolus) helps protect the kidneys by ensuring adequate hydration. Choice D (insulin) and Choice E (sodium bicarbonate) are not routinely used.
A client has an amylase level of 450 units/L and lipase level of 659 units/L. The client has mid-epigastric pain with nausea. What assessment helps the nurse to determine severity of the client's condition?
- A. Ranson's criteria.
- B. Vital signs.
- C. Urine output.
- D. Glasgow Coma Scale.
Correct Answer: A
Rationale: Ranson's criteria (A) assess pancreatitis severity using clinical and lab parameters like age, glucose, and white blood cell count. Vital signs (B) and urine output (C) are general but less specific. Glasgow Coma Scale (D) is for neurological assessment, not pancreatitis severity.
The nurse should instruct a client who has been diagnosed with vasospastic disorder (Raynaud's phenomenon) to:
- A. Immerse her hands in cold water during an episode
- B. Wear light garments when the temperature gets below 50°F (10°C)
- C. Wear gloves when handling ice or frozen foods
- D. Live in a cold climate
Correct Answer: C
Rationale: Wearing gloves when handling ice or frozen foods prevents cold-induced vasospasm in Raynaud's. Cold water worsens symptoms, light garments are insufficient in cold temperatures, and living in a cold climate increases episode frequency.
The nurse is transfusing one unit of packed red blood cells (PRBCs) to a client. The nurse initiated the transfusion at 1400. After completing the 1545 vital signs, the nurse should take which action? See the image below.
- A. Stop the transfusion
- B. Verify the blood product with another nurse
- C. Apply nasal cannula oxygen
- D. Document the findings and continue the transfusion
Correct Answer: D
Rationale: Without specific abnormal vital signs provided in the image, the nurse should document the findings and continue the transfusion if vital signs are stable, as this is standard practice after monitoring. Stopping the transfusion, verifying the product again, or applying oxygen require specific indications of a transfusion reaction or instability.
In assessing a client in the early stage of chronic lymphocytic leukemia (CLL), the nurse should determine if the client has:
- A. Enlarged, painless lymph nodes.
- B. Headache.
- C. Hyperplasia of the gums.
- D. Unintentional weight loss.
Correct Answer: A
Rationale: Early-stage CLL is often asymptomatic but may present with enlarged, painless lymph nodes due to lymphocyte accumulation. Headache, gum hyperplasia, and weight loss are not typical early findings.