A new clinic patient with joint swelling and pain is being tested for systemic lupus erythematosus. Which test will provide the most specific findings for the nurse to review?
a. Rheumatoid factor (RF)
b. Antinuclear antibody (ANA)
c. Anti-Smith antibody (Anti-Sm)
d. Lupus erythematosus (LE) cell prep
ANS: C
The anti-Sm is antibody found almost exclusively in SLE. The other blood tests are also used in screening but are not as specific to SLE.
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The nurse is taking care of a child who is showing signs of imminent death. What changes should the nurse expect to see with the neurological system?
1. Decreased cerebral perfusion, hypoxemia, and metabolic acidosis 2. Hearing and vision becomes more heightened. 3. Remains calm, heightened alertness. 4. Alert to current time and place
A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the health care team for post-discharge care?
a. Married young adult who is the primary caregiver for children b. Middle-aged client who is post knee replacement, needs physical therapy c. Older adult who lives at home despite some memory loss d. Young client who lives alone, has family and friends nearby
Over 50% of the population, aged 65 years and older, suffers from which one of the following chronic health conditions?
a. Hypertension c. Multiple sclerosis b. Renal failure d. Cancer
In planning activities to improve short-term memory for an older adult patient experiencing memory deficits, the nurse would include:
1. maintaining the same daily schedule. 2. rehearsal memory training. 3. a varied, stimulating daily schedule. 4. deep-breathing exercises.