A patient who is currently being treated for rheumatoid arthritis ...

[cdr_15]

A patient who is currently being treated for rheumatoid arthritis exhibits symptoms suspicious of tuberculosis (TB). The nurse anticipates that
 
  a. the symptoms are a result of the patient's rheumatoid arthritis.
  b. the symptoms are actually side effects of corticosteroid therapy.
  c. a chest radiograph will definitively con-firm a diagnosis of TB.
  d. a purified protein derivative (PPD) skin test will likely be negative.

Question 2

An older adult patient expresses concern about developing cancer in the future and asks the nurse advice about cancer prevention. The nurse shares that
 
  a. Eating foods high in protein, such as chicken and fish, promote cell growth and repair, thus minimizing the risk.
  b. Although there are some behaviors that can help minimize your risk, the possibility of developing cancer is usually determined by age 65.
  c. Most cancers that develop after age 65 generally respond well to cancer treatment modalities.
  d. Cancers that develop late in life are gen-erally slow growing, so they generally do not contribute to this group's mortality.

[Sophiapenny]

Answer to Question 1

D
Diminished inflammatory responses may lead to false-negative results for skin tests used in the diagnosis of disease, for example, the purified protein derivative (PPD) skin test for tuberculosis. These reduced responses are even more likely to occur in people who have diseases or drug treatments that further suppress the immune system.

Answer to Question 2

B
Most cancers are the result of a lifelong exposure, so the risk of developing malignant disease after age 65 is probably already determined by the time one reaches that age. If exposure to pro-moters can be avoided or reduced and antipromoters can be used, then cancerous transformation may not take place or may be delayed. The other statements are not accurate.