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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Encouraging the patient to relax and breathe deeply does not address the immediate concerns of potential hemorrhage.
B. An abdominal ultrasound is not the first step in managing potential GI bleeding; stabilization is the priority.
C. Proton pump inhibitors are important for managing peptic ulcer disease, but the immediate priority is
stabilizing the patient’s condition.
D. Initiating IV access and administering fluids as prescribed is essential to stabilize the patient, manage shock, and address potential blood loss from gastrointestinal bleeding.
Correct Answer is D
Explanation
A. Flushing the NG tube with 60 mL of water before feeding is not sufficient to reduce aspiration risk.
B. Administering the feeding with the patient lying flat increases the risk of aspiration and should be avoided.
C. Increasing the feeding rate could cause discomfort and increase the risk of aspiration if the stomach becomes overdistended.
D. Positioning the patient in a semi-Fowler's position (head of the bed elevated 30 to 45 degrees) reduces the risk of aspiration during and after feeding.
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