Which of the following test results would not be associated with systemic lupus erythematosus (SLE)?
1. Decreased level of anti-DNA antibodies
2. Decreased level of total complement
3. Increased level of antinuclear antibodies
4. Increased level of rheumatoid factor
1
Increased levels of anti-DNA antibodies are associated with SLE. Decreased levels are associated with other connective tissue disorders. SLE is associated with decreased levels of total complement, increased levels of antinuclear antibodies, and increased levels of rheumatoid factor.
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A patient taking hormonal contraceptives will soon turn 35 years of age. She is moderately obese and has smoked for 15 years. Which of the following is most important?
A) Begin an exercise regime. B) Begin smoking cessation. C) Begin daily aspirin therapy. D) Begin taking a loop diuretic to aid weight loss.
The nurse is caring for a 1-year-old child who has had major surgery and suspects that the child is in pain. What method should the nurse use to assess the child for pain?
A) A one-dimensional system such as the Faces scale B) A multidimensional system such as COMFORT C) Ask the parents to decide if the child is in pain. D) Assess vital signs, restlessness, crying, and diaphoresis.
A patient is pacing in the hall when the nurse overhears the patient say, "Leave me alone. I am not in the Mafia." What is the best response from the nurse?
1. "Tell me, are you hearing voices again?" 2. "Tell me what you are hearing right now." 3. "You are safe from the Mafia here in the hospital." 4. "You need to attend the next recreation group. That will help you ignore the voices."
The informatics nurse wants to find information to support a proposed change to the electronic health record. Which action should the nurse take first?
A) Perform a Google search. B) Search the National Library of Medicine. C) Enter the search term into the Medline database. D) Access the Cochrane Database of Systematic Reviews.