A client with rheumatoid arthritis is ordered to receive tumor necrosis factor (TNF) as treatment for symptoms. Which manifestations are of most concern to the nurse?
a. Elevated temperature and a sore throat
b. Decreased range of motion and crepitation
c. Constipation and abdominal pain
d. Poor skin turgor and increased urine specific gravity
ANS: A
TNF may cause immunosuppression and increased risk for infection.
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Chemical names are different from trade or brand names because chemical names describe which of the following?
a. Atomic or molecular structure b. Metabolic and chemical structure c. Generic or chemical structure d. Receptor and agonist structure
Which organization was established by the American Nurses Association as the first labor union for registered nurses in the United States?
1. United American Nurses 2. National Labor for Nurses 3. United States Nurses United 4. American Federal Union of Nurses
The nurse is teaching staff at a long-term health care facility about depression in older adults. Which comment by a staff member indicates the need for further teaching?
1. "Lack of interest or apathy may be a sign of depression in older adults." 2. "Inability to organize and extract information may indicate depression in older adults." 3. "Sadness or feeling blue are normal aspects of the aging process and are not a cause for concern." 4. "Older adults with depression may exhibit an excessive preoccupation with chronic constipation or pain."
Which laboratory value should the nurse review to determine whether a patient's hypothyroidism is caused by a problem with the anterior pituitary gland or with the thyroid gland?
a. Thyroxine (T4) level b. Triiodothyronine (T3) level c. Thyroid-stimulating hormone (TSH) level d. Thyrotropin-releasing hormone (TRH) level