Practice Quiz

Adult Nurse Practitioner Exam Prep

Category - AANPCP Adult Nurse Practioner Practice Test

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A 35-year-old white female tested positive for antinuclear antibody after demonstrating signs of systemic lupus erythematosus. What is the next step?
  1. Prescribe ibuprofen
  2. Prescribe prednisone or another glucocorticoid
  3. Order for an Anti-DS DNA
  4. Order for Anti-citrullinated cyclic peptide
Explanation
Answer - C - The ANA is the initial screening test for systemic lupus erythematosus. If the patient tests positive, order a more specific test, such as the Anti-DS DNA or Anti-Smith. If the patient tests positive in any of these tests, the diagnosis of systemic lupus erythematosus is confirmed. NSAIDS are prescribed to relieve joint pain and glucocorticoids are prescribed during flare-ups.
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