A nurse is reviewing laboratory results for a client who has pericarditis. Which of the following blood test results should the nurse anticipate? (Select All that Apply.)
Elevated erythrocyte sedimentation rate (ESR)
Increased C-reactive protein (CRP)
Elevated thyroid-stimulating hormone (TSH)
Increased brain natriuretic peptide (BNP)
Increased troponin I
Correct Answer : A,B,D,E
A. Elevated erythrocyte sedimentation rate (ESR): Elevated ESR is commonly seen in inflammatory conditions such as pericarditis. ESR measures the rate at which red blood cells settle in a tube of blood over a certain period, and elevated levels indicate inflammation or tissue damage.
B. Increased C-reactive protein (CRP): CRP is an acute-phase reactant produced by the liver in response to inflammation. Elevated CRP levels are indicative of inflammation, making it a useful marker in pericarditis.
C. Elevated thyroid-stimulating hormone (TSH): Elevated TSH levels are not typically associated with pericarditis. TSH is a hormone produced by the pituitary gland that stimulates the thyroid gland to produce thyroid hormones. Elevated TSH levels are seen in conditions such as hypothyroidism.
D. Increased brain natriuretic peptide (BNP): BNP is a hormone produced by the heart in response to increased pressure and volume overload. Pericarditis can lead to increased pressure within the heart, resulting in elevated BNP levels. Therefore, increased BNP levels are anticipated in pericarditis.
E. Increased troponin I: Troponin I is a cardiac biomarker released into the bloodstream when there is damage to cardiac muscle cells. While pericarditis primarily involves inflammation of the pericardium (the sac surrounding the heart), severe cases can lead to myocardial involvement and subsequent release of troponin I. Therefore, increased troponin I levels may be observed in pericarditis, especially if there is myocardial involvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Rheumatoid arthritis: Rheumatoid arthritis is an autoimmune condition characterized by chronic inflammation of the joints. Some research suggests a possible link between autoimmune disorders such as rheumatoid arthritis and Meniere's disease. Autoimmune conditions can affect the inner ear, leading to vestibular dysfunction and contributing to the development of Meniere's disease.
B. Bacterial pneumonia: Bacterial pneumonia is a respiratory infection caused by bacterial pathogens. There is no direct association between bacterial pneumonia and an increased risk of developing Meniere's disease. Meniere's disease primarily affects the inner ear and is not related to respiratory infections.
C. Macular degeneration: Macular degeneration is a degenerative eye disease that affects the central portion of the retina. There is no known association between macular degeneration and an increased risk of developing Meniere's disease. These conditions affect different parts of the body and are not related in terms of etiology or risk factors.
D. Osteoporosis: Osteoporosis is a condition characterized by loss of bone density, leading to an increased risk of fractures. There is no direct association between osteoporosis and an increased risk of developing Meniere's disease. These conditions affect different systems in the body and are not known to be related.
Correct Answer is B
Explanation
A. "I can't eat as much as I used to": While changes in eating habits may be related to various factors, such as appetite changes or difficulty chewing/swallowing, this statement does not specifically indicate how hearing loss affects the client's ability to perform ADLs.
B. "I get dizzy when I nod my head": This statement suggests that the client is experiencing dizziness, which could be related to hearing loss affecting their sense of balance. Dizziness can significantly impact the client's ability to perform activities of daily living (ADLs) safely, such as walking, cooking, or bathing, as it increases the risk of falls and injury.
C. "I wash my hair every other day": This statement describes a personal hygiene habit and does not directly indicate how hearing loss affects the client's ability to perform ADLs.
D. "I walk my dog at least twice a day": This statement describes an activity the client engages in and does not directly indicate how hearing loss affects the client's ability to perform ADLs. Walking a dog does not necessarily require hearing ability, as it primarily involves physical movement and visual observation.
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