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 A

Explanation

A. Intravenous corticosteroids are the next appropriate step to reduce inflammation in the airways and improve symptoms of asthma exacerbation.
B. Providing supplemental oxygen and reassessing in 30 minutes might be necessary, but corticosteroids are the priority in this case to address the underlying inflammation.
C. A second dose of albuterol may be considered, but corticosteroids should be administered as soon as possible to treat the inflammation in the airways.
D. An oral antihistamine is not indicated for asthma exacerbations, as it does not target the underlying inflammation in the airways.

A. Dyspnea B. Dysesthesia C. Dyspepsia D. Dysarthria

Correct Answer is C

Explanation

A. Dyspnea (difficulty breathing) is not typically associated with GERD. GERD is primarily characterized by symptoms related to the digestive system.
B. Dysesthesia refers to abnormal sensations, such as tingling or burning, and is not typically related to GERD symptoms.
C. Dyspepsia, or indigestion, is a common manifestation of GERD. It includes symptoms like heartburn, regurgitation, and discomfort in the upper abdomen.
D. Dysarthria, which refers to difficulty speaking, is not a common symptom of GERD and is more related to neurological conditions.

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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

Correct Answer is A

Explanation

A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?

Correct Answer is C

Explanation

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