In reviewing laboratory results for patients suspected with polymyalgia rheumatica (PMR), you realize that there is no definitive test to diagnosis PRM, rather clinical response to treatment. Results you would expect to see include
A. Elevated erythrocyte sedimentation rate (ESR) greater than 50mm per hour
B. Elevated rheumatoid factor and anti-citrullinated protein antibodies (RF and ACPA)
C. Decreased C-reactive protein level (CR-P)
D. Elevated thyroid stimulating hormone (TSH)
A
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A client who became severely depressed after losing her job tells the nurse that she is not worth the
time the nurse spends with her. The client often mentions that she is "the worst person in the world.". On the basis of these data, the nursing diagnosis that should be considered for this client is a. powerlessness. b. defensive coping. c. situational low self-esteem. d. disturbed personal identity.
A client is receiving glyburide. The nurse assesses the client for a decrease in the drug's effect if which of the following drugs are initiated? Select all that apply
A) Atenolol (Tenormin) B) Amlodipine (Norvasc) C) Phenytoin (Dilantin) D) Lithium (Eskalith) E) Levothyroxine (Synthroid)
You plan to apply EMLA cream to decrease the pain of an injection. Which of the following would be the best technique?
A) Apply it immediately prior to the painful procedure. B) Wipe it off at least 15 minutes before the procedure. C) Do not cover it after application to prevent it from discoloring. D) Apply it at least 1 hour before the procedure.
A client with a burn injury has been prescribed silver nitrate. The appropriate nursing intervention for the client is to:
1. Monitor daily weight. 2. Prepare to change the dressings every two hours. 3. Report black skin discolorations. 4. Push fluid intake.