A 58-year-old male patient with a history of colon cancer has developed jaundice. Which laboratory finding would most likely suggest liver metastasis as the cause of the jaundice?

Increased creatinine levels

Elevated serum amylase

Decreased albumin levels

Elevated serum bilirubin level

Answer and Explanation

The Correct Answer is D

A.   Increased creatinine levels may indicate kidney dysfunction, but it is not specifically related to liver metastasis.
B.   Elevated serum amylase is typically associated with pancreatic conditions and not directly with liver metastasis.
C.   Decreased albumin levels may occur with liver dysfunction but is not specific to liver metastasis.
D.   Elevated serum bilirubin levels are a key indicator of liver dysfunction, and when seen in the context of jaundice and a history of colon cancer, they strongly suggest liver metastasis as the underlying cause.

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Correct Answer is B

Explanation

A. MRI of the wrist can help rule out other conditions, but it is not the most specific test for diagnosing carpal tunnel syndrome.
B. Electromyography (EMG) and nerve conduction studies are the gold standard for diagnosing carpal tunnel syndrome. These tests measure the electrical activity of the muscles and the speed of nerve impulses to confirm nerve compression.

C. Ultrasound of the wrist may be helpful in visualizing the median nerve but is not as definitive as EMG and nerve conduction studies.
D. X-ray of the wrist would not be useful in diagnosing carpal tunnel syndrome as it does not show soft tissue or nerve involvement.

A. Position the patient supine during feeding to enhance comfort. B. Monitor gastric residual volumes regularly. C. Administer all feedings rapidly to decrease procedure time. D. Use sterile gloves when handling the feeding tube. E. Flush the tube with water before and after medication administration. F. Elevate the head of the bed to at least 30 degrees during feeding. G. Verify tube placement before starting the feeding.

Correct Answer is ["B","E","F","G"]

Explanation

A. Positioning the patient supine can increase the risk of aspiration and should be avoided during feeding. The head of the bed should be elevated instead.
B. Monitoring gastric residual volumes is important to assess the tolerance of the feeding and prevent aspiration.
C. Feedings should be given slowly to avoid complications like gastric distention, not rapidly.
D. Using sterile gloves when handling a feeding tube is not necessary unless there is a risk for infection, but clean gloves are generally adequate.
E. Flushing the tube with water before and after medication administration helps to maintain patency and prevent clogging.
F. The head of the bed should be elevated at least 30 degrees during feeding to reduce the risk of aspiration.
G. Verifying tube placement before starting the feeding ensures that the feeding is going into the stomach and not the lungs.

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A 58-year-old male patient with a history of colon cancer has developed jaundice. Which laboratory finding would most likely suggest liver metastasis as the cause of the jaundice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 38-year-old construction worker reports hand weakness and difficulty gripping tools. Examination reveals atrophy of the thenar eminence and decreased sensation in the thumb, index, and middle fingers. What diagnostic test would most likely confirm the diagnosis of carpal tunnel syndrome?

Correct Answer is B

Explanation

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Correct Answer is ["B","E","F","G"]

Explanation

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