An immunosuppressed older adult patient reports symptoms of fatigue, facial rash, intermittent low-grade fever, and painfully swollen finger joints. The nurse anticipates that diagnosis will be confirmed by

a. the presence of subcutaneous nodules on the hands.
b. a positive antinuclear antibody (ANA) blood serum test.
c. a liver biopsy that confirms cirrhosis.
d. the presence of bilateral ocular scleritis.


B
The antinuclear antibody is one of the more specific tests for lupus; patients with lupus have a positive ANA test. The patient with an autoimmune disease is more susceptible to infection than others.

Nursing

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Which hormone is released from the adrenal cortex in response to physiologic stress?

a. Mineralocorticoid c. Glucocorticoid b. Corticosteroid d. Cortisol

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The patient who has been given a prescription for tadalafil (Cialis) is warned about the possibility of the complication of:

a. priapism. b. obstructed urethra. c. hydronephrosis. d. urethritis.

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The nurse is conducting a class for a group of new mothers regarding infant care. Upon completion of the class, the nurse would:

1. Plan to review major points of the class. 2. Evaluate return demonstrations. 3. Assess the level of the clients' knowledge. 4. Determine goals for learning.

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A nurse is evaluating a client for commencement of enteral feedings. The most appropriate client to receive enteral feeding is the client who has _____ bowel sounds

a. decreased b. absent c. intact d. occasional

Nursing