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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 C

Explanation

A. Non-bloody diarrhea with abdominal cramps: These symptoms are not typical of pancreatitis. They are more common in gastrointestinal infections or irritable bowel syndrome.

B. Belching and burping within one hour after eating: These symptoms are usually associated with gastroesophageal reflux disease (GERD) or dyspepsia, not pancreatitis.

C. Severe epigastric pain that radiates to his back: Severe epigastric pain that radiates to the back is a hallmark symptom of acute pancreatitis.

D. Heartburn that worsens when lying down: This symptom is more characteristic of GERD rather than pancreatitis.

A. Moon face, buffalo hump, and hyperglycemia B. Hirsutism, fever, and irritability C. Anorexia, fatigue and hypotension D. Tachycardia, exophthalmos, and goiter

Correct Answer is C

Explanation

A. Moon face, buffalo hump, and hyperglycemia: These manifestations are associated with Cushing's disease, not Addison's disease.

B. Hirsutism, fever, and irritability: These symptoms are not characteristic of Addison's disease.

C. Anorexia, fatigue, and hypotension: Addison's disease often presents with symptoms like anorexia, fatigue, hypotension, and hyperpigmentation of the skin.

D. Tachycardia, exophthalmos, and goiter: These symptoms are associated with hyperthyroidism, not Addison's disease.

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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 manifestations (S&S) alert the nurse to the possibility of pancreatitis in the patient who has elevated serum amylase and lipase levels?

Correct Answer is C

Explanation

A nurse is assessing a patient diagnosed with Addison's disease. Which clinical manifestations are expected?

Correct Answer is C

Explanation

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A man, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider for treatment. The nurse notes that his skin and sclera are jaundiced. While reviewing his laboratory data, the nurse should expect to find a serum bilirubin level and a serum bilirubin level.

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