The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. Which of the following would the nurse expect to find?
A) Increased red blood cell count
B) Increased C4 complement
C) Elevated erythrocyte sedimentation rate
D) Increased albumin levels
C
Feedback:
The erythrocyte sedimentation rate (ESR) may be elevated, particularly as the disease progresses. ESR shows inflammation associated with RA. Red blood cell count and C4 complement component are decreased. Serum protein electrophoresis may disclose increased levels of gamma and alpha globulin but decreased albumin.
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The nurse teaches the client how to self-administer insulin, and determines further teaching is needed when the client states:
1. "I should rotate the site I use for injections." 2. "I should draw back on the plunger before injecting the insulin." 3. "I will clean the site using an antiseptic wipe, and rub in a circle." 4. "I should never inject insulin in an area with a bruise."
When a patient makes eight errors within 1.5 minutes while performing serial 7s, the nurse concludes that the patient has which of the following?
a. normal calculation ability c. dyscalculia b. confabulation d. constructional apraxia
When serious adverse effects in patients treated with vancomycin are assessed, the nurse includes the evaluation of:
1. cross-sensitivity if the patient is allergic to penicillin. 2. liver function studies for evidence of hepatic toxicity. 3. the peripheral nerves and grip strength for signs of neuropathy. 4. hearing and balance for evidence of ototoxicity.
Which clients may benefit from central venous IV access?
1. The client requiring long-term IV therapy 2. The client receiving caustic IV therapy 3. The client requiring numerous IV infusions that are not compatible and cannot be infused together 4. The unstable client requiring reliable IV access for administration of medications required immediately 5. The client who is afraid of needles and does not want a catheter in the peripheral extremity