Immunity - RA & Lupus

Question 1

What signs are uncomfortable but expected in client with either RA or lupus?

a. ) N/V
b. ) Severe vertigo and HA
c. ) Body aches and fatigue
d. ) Itching and burning of skin

Answer 1

C - Body aches and fatigue

Question 2

The RN is caring for a pt. with RA would be concerned about all the following EXCEPT?

a. ) Mobility
b. ) Functional ability
c. ) Safety
d. ) Fluid and electrolyte

Answer 2

D - Fluid and electrolytes - would be concerned in with lupus

Question 3

Which lab in female client with lupus would concern the RN the most?

a. ) Hgb 11.4
b. ) Glucose 110
c. ) CR 3.2
d. ) Platelets 180,000

Answer 3

C - Cr 3.2

Hgb not as concerning because pt. is female

Question 4

A client with lupus begins immune suppressing med. Which finding is related to a side effect of this med?

a. ) ringing in the ears
b. ) elevated troponin level
c. ) Temp 101.3
d. ) Butterfly shaped facial rash

Answer 4

C - Temp 101.3

Question 5

A pt. with RA is taking prednisone. The RN should prioritize all of the assessments except

a. ) O2 Sat
b. ) Musculoskeletal assessment
c. ) BS
d. ) Fluids and electrolytes

Answer 5

A - O2 sat

All others are SE of Prednisone use

Question 6

Which lab value confirms a client with lupus?

a. ) ANA
b. ) EBC
c. ) BUN and Cr
d. ) No lab can confirm lupus

Answer 6

D - No lab can confirm lupus

Question 7

Which lab indicated a client most likely has an autoimmune disorder?

a. ) Pro-BNP
b. ) Troponin
c. ) ANA
d. ) Elevated WBC

Answer 7

C - ANA