ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 63 Questions
Question 1 of 5
The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. What would the nurse expect to find?
Correct Answer: C
Rationale: The erythrocyte sedimentation rate (ESR) may be elevated, particularly as the disease progresses. ESR shows inflammation associated with RA. Red blood cell count and C4 complement component are decreased. Serum protein electrophoresis may disclose increased levels of gamma and alpha globulin but decreased albumin.
Question 2 of 5
A nurse is monitoring a client diagnosed with Lyme disease. Which finding would suggest that the disease is in the early stages?
Correct Answer: B
Rationale: Early stage 1 symptoms include a red macule or papule at the site of the tick bite, a typical bull's-eye rash, headache, neck stiffness, and pain. Breathlessness and bony nodules are not associated with Lyme disease. Later stage symptoms include swollen and painful knees.
Question 3 of 5
A client is complaining of severe pain in the left great toe. What lab studies that the nurse reviews indicate that the client may have gout?
Correct Answer: B
Rationale: Gout is characterized by hyperuricemia (accumulation of uric acid in the blood) caused by alterations in uric acid production, excretion, or both. An elevated white blood count may indicate bleeding from somewhere in the body. Increased AST and ALT would indicate liver dysfunction.
Question 4 of 5
A client is diagnosed with systemic lupus erythematosus (SLE). Which action would be most appropriate for the nurse to use to evaluate the client's stage of disease?
Correct Answer: B
Rationale: The nurse evaluates the stage of SLE and plans appropriate interventions by reviewing the medical record and diagnostic findings of the client. The stage of the disease cannot be established by observing the client's gait, inspecting the client's mouth, or auscultating the client's lung sounds.
Question 5 of 5
A client is diagnosed with osteomyelitis. This is most commonly caused by which of the following?
Correct Answer: D
Rationale: Staphylococcus aureus causes over 50% of bone infections. Other organisms include Proteus vulgaris and Pseudomonas aeruginosa, as well as E. coli.