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A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.

High conjugated, high direct: In cirrhosis and alcoholic liver disease, the liver's ability to process bilirubin is impaired, leading to elevated levels of both conjugated (direct) and unconjugated bilirubin, causing jaundice.

High direct, high unconjugated: Both direct (conjugated) and unconjugated bilirubin levels are elevated, but this does not clarify the direct relationship with jaundice.

Low indirect, normal unconjugated: In liver disease, bilirubin levels are elevated, not low or normal.

Answer and Explanation

The Correct Answer is D

A. Hyperproteinemia and increased drug effect: In cirrhosis, hypoproteinemia (low protein levels) occurs due to decreased protein synthesis by the liver, and drug metabolism is often impaired, leading to increased drug effects, but hyperproteinemia is not a typical finding.

B. Hyperkalemia and fluid retention: While fluid retention is common due to hypoalbuminemia and portal hypertension, hyperkalemia is not a direct consequence of hepatocyte dysfunction.

C. Hypercortisolism and increased infection risk: Hypercortisolism is not typically associated with cirrhosis. However, increased infection risk is common due to compromised immune function.

D. An elevated blood glucose and ammonia level: In cirrhosis, the liver's ability to metabolize ammonia is impaired, leading to elevated levels. Additionally, impaired glucose metabolism can result in hyperglycemia.

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Correct Answer is D

Explanation

A. Hemiparesis of the left arm and leg with nystagmus: A left hemispheric stroke typically affects the right side of the body.

B. Eyelid and mouth drooping on the ipsilateral side: Facial drooping due to a stroke typically occurs on the contralateral side of the body.

C. Homonymous hemianopia of the left visual field of both eyes: A left hemispheric stroke typically causes right-sided homonymous hemianopia.

D. Hemiparesis of the right arm and leg with aphasia: A left hemispheric stroke often results in right-sided hemiparesis and can affect language centers, leading to aphasia.

A. Tetany of the hands with a positive Chvostek sign B. Polyuria, sweating and dry mucous membranes C. Forgetfulness, depression and anemia D. Nervousness, irritability, and diarrhea

Correct Answer is C

Explanation

A. Tetany of the hands with a positive Chvostek sign: Tetany and a positive Chvostek sign are more associated with hypocalcemia rather than Hashimoto's thyroiditis.

B. Polyuria, sweating, and dry mucous membranes: These symptoms are more indicative of hyperthyroidism or diabetes rather than hypothyroidism, which is characteristic of Hashimoto's thyroiditis.

C. Forgetfulness, depression, and anemia: Hashimoto's thyroiditis, which causes hypothyroidism, can lead to symptoms like forgetfulness, depression, and anemia due to reduced thyroid hormone levels.

D. Nervousness, irritability, and diarrhea: These symptoms are associated with hyperthyroidism rather than hypothyroidism.

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A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.

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Naxlex Comprehensive Predictor Exams

Which assessment findings are expected in a patient experiencing a left hemispheric brain attack?

Correct Answer is D

Explanation

A patient is diagnosed with Hashimoto's thyroiditis. Which clinical manifestations are expected?

Correct Answer is C

Explanation

Which assessment finding is expected for a patient just diagnosed with viral (aseptic) meningitis?

A patient is admitted to the emergency department (ED) following an overdose of acetaminophen (Tylenol) and is diagnosed with cirrhosis. Which laboratory finding is consistent with the diagnosis?

Which laboratory data would alert the nurse to the possibility of hypercalcemia in the patient recently diagnosed with osteoporosis?

When analyzing laboratory values, for a patient diagnosed with Graves' disease, the nurse would expect to find a

A patient presents to the emergency department (ED) with a two-hour history of hemiparesis of the right arm and leg. These symptoms spontaneously resolve within 4 hours of her arrival to the emergency department (ED). The nurse will anticipate teaching the patient about

During a workshop, a pathophysiology instructor is teaching a group of students about hypothyroidism. Which statement identifies why hypothyroidism is rarely seen in the U.S. (United States)?

A patient is diagnosed with Cushing's disease. Which statement about hyperaldosteronism is correct?

A patient with diabetes mellitus (DM) developed a serum glucose of 900 and an elevated serum osmolality. The patient then became unconscious. What pathological process most likely caused the altered neurologic status?