A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours.
Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?
Erythrocyte sedimentation rate (ESR).
White blood cell (WBC) Count.
Rheumatoid factor (RF).
Antinuclear antibody (ANA).
The Correct Answer is A
Choice A rationale:
The ESR is a common blood test that measures how quickly red blood cells settle at the bottom of a test tube. Inflammation can cause the cells to settle faster, and this test can be used to monitor the effectiveness of anti-inflammatory treatments like aspirin.
Choice B rationale:
The WBC count is a measure of the body’s immune response and is not directly affected by aspirin.
Choice C rationale:
The RF is a specific marker for rheumatoid arthritis, but it does not change with aspirin treatment.
Choice D rationale:
The ANA is a test used to help diagnose autoimmune disorders, and it is not affected by aspirin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
This statement is incorrect. Movement can distort the image quality in an MRI scan, so patients are usually asked to lie still.
Choice B rationale:
This statement is incorrect. MRI contrast dye does not contain iodine, and it is less likely to cause an allergic reaction.
Choice C rationale:
This statement is correct. MRI scans can be very noisy due to the magnetic fields changing during the scan. Patients are often offered earplugs or headphones to reduce the noise.
Choice D rationale:
This statement is incorrect. The length of an MRI scan can vary, but it often takes longer than 30 minutes.
Correct Answer is D
Explanation
Choice A rationale:
Painful and red-tinged urination could indicate a urinary tract infection or passing of a kidney stone, not necessarily a contraindication for an intravenous pyelogram.
Choice B rationale:
The end of a menstrual period does not affect the procedure.
Choice C rationale:
Adequate fluid intake is generally beneficial for kidney health.
Choice D rationale:
An allergy to shellfish might indicate an allergy to iodine, which is used in the contrast dye for an intravenous pyelogram. This is a potential contraindication for the procedure and should be reported to the provider.
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