Nokea
The physician orders tests to determine if a client has systemic lupus erythematosus (SLE). Which test result confirms SLE?
- A. Increased total serum complement levels
- B. An above-normal anti-deoxyribonucleic
- C. Negative antinuclear antibody test acid
- D. Negative lupus erythematosus cell test
Correct Answer: B
Rationale: An above-normal anti-deoxyribonucleic acid (anti-dsDNA) test result confirms systemic lupus erythematosus (SLE). Anti-dsDNA antibodies are highly specific for SLE and are found in about 70% of individuals with the condition. These antibodies target the genetic material within the cell nucleus and are strongly associated with lupus nephritis, a severe complication of SLE. Therefore, an elevated anti-dsDNA test result would be a key indicator of SLE diagnosis.
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A delayed onset of respiratory symptoms after exposure is characteristic of
- A. chlorine
- B. phosgene
- C. cyanide
- D. anthrax
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse notes frequent muscle twitching when collecting admission data on a patient admitted for increasing muscle weakness. Which of the ff. terms should the nurse use to document this?
- A. Fasciculations
- B. Chorea
- C. Atrophy
- D. Neuropathy
Correct Answer: A
Rationale: Fasciculations are small, involuntary muscle contractions or twitching observed under the skin. In this scenario, the nurse noted frequent muscle twitching in the patient, which aligns with the characteristic manifestation of fasciculations. It is important for the nurse to accurately document this observation as it can provide valuable information to the healthcare team in assessing the patient's condition and determining the underlying cause of the muscle weakness. Chorea refers to irregular, rapid, and jerky movements that are not present in this case. Atrophy indicates muscle wasting, while neuropathy involves damage or dysfunction of nerves, neither of which specifically describes the observed muscle twitching.
Concerning acute bronchiolitis, all of the following are true except:
- A. Epidemics often occur during winter
- B. The disease typically affects infants younger than 2 years of age
- C. Immunodeficiency is an indication for treatment with ribavirin
- D. The disease is more benign in infants born prematurely
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following is NOT a potential complication of neonatal jaundice?
- A. kernicterus
- B. deafness
- C. cerebral palsy
- D. cardiomyopathy
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 7-year-old boy exhibits separation anxiety, temper issues, and withdrawal from activities after his parents' divorce. What is the most likely diagnosis?
- A. Attention deficit hyperactivity disorder
- B. Conduct disorder
- C. Major depressive disorder
- D. Separation anxiety disorder
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.