Given that most tests are nonspecific, how is SLE diagnosed?
What will be an ideal response?
According to the American College of Rheumatology, a person is classified as having SLE if four or
more of the following are present, serially or simultaneously, during any interval of observation:
• Malar rash- "butterfly rash"
• Discoid rash- raised red disc shaped patches
• Photosensitivity
• Mouth ulcers
• Arthritis: nonerosive, involvement of two or more joints, characterized by tenderness, swelling,
and effusion
• Serositis: pleuritis or pericarditis
• Renal disorder: persistent proteinuria or casts in urine
• Neurologic disorder: seizures or psychosis
• Hematologic disorder: hemolytic anemia, leukopenia, lymphopenia, or thrombocytopenia
• Immunologic disorder: anti-DNA or anti-Sm or positive phospholipid antibodies
• Abnormal antinuclear antibody
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Physiologic risk factors for elimination problems are explored in what nursing function?
A) Physical assessment B) Health history C) Genetic history D) Initial assessment
A nurse is assessing the stools of a breastfed baby. What is the appearance of normal stools for this baby?
A) yellow, loose, odorless C) brown, formed, strong odor B) brown, paste-like, some odor D) black, semiformed, no odor
The nurse is caring for a patient who has been diagnosed with a terminal illness. The patient states, "I just don't feel like going to work. I have no energy, and I can't eat or sleep." The patient shows no interest in taking part in his care
The nurse should a. Not be concerned about self-harm because the patient has not indicated any desire toward suicide. b. Ignore individual patient goals until the current crisis is over. c. Encourage the patient to purchase over-the-counter sleep aids to help him sleep. d. Assess the potential for suicide and make appropriate referrals.
When assessing the inter-item correlation of a subscale, one should perform a correlation matrix of all the items and accept items that have a correlation of:
A) Minus .20 to .40 B) Minus .30 to .70 C) Plus .20 to .40 D) Plus .30 to .70