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).

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:
Indwelling urinary catheters can actually increase the risk of UTIs.
Choice B rationale:
Offering the bedpan every 2 hours may not be necessary or practical for all patients.
Choice C rationale:
Cleaning the perineum from back to front can introduce bacteria to the urinary tract, increasing UTI risk.
Choice D rationale:
Adequate hydration can help flush bacteria out of the urinary tract, reducing UTI risk.

A. Obtain a sputum culture. B. Position head of bed at 10 degrees. C. Cough and deep breathe every 8 hr. D. Encourage fluid intake of 1500 mL/day.

Correct Answer is A

Explanation

Choice A rationale:
Obtaining a sputum culture helps identify the causative organism and guide treatment.
Choice B rationale:
Positioning the head of bed at 10 degrees is not beneficial for pneumonia patients.
Choice C rationale:
Coughing and deep breathing every 8 hours is not frequent enough for pneumonia patients.
Choice D rationale:
Encouraging fluid intake of 1500 mL/day is not sufficient for pneumonia patients.

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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?

Nursing Test Bank

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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?