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.
high unconjugated low direct
high conjugated: high direct
high direct: high unconjugated.
low indirect: normal unconjugated.
The Correct Answer is B
A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.
B. 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.
C. High direct, high unconjugated: Both direct (conjugated) and unconjugated bilirubin levels are elevated, but this does not clarify the direct relationship with jaundice.
D. Low indirect, normal unconjugated: In liver disease, bilirubin levels are elevated, not low or normal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Colon polyps: Colon polyps are not treated with antibiotics or antacids and are unrelated to Helicobacter pylori infection.
B. Atrophic gastritis: Atrophic gastritis involves chronic inflammation and thinning of the stomach lining and is not typically treated with antibiotics for Helicobacter pylori.
C. Intussusception of the small bowel: Intussusception is a condition where part of the intestine telescopes into itself and is not related to Helicobacter pylori.
D. Peptic ulcer disease: Peptic ulcer disease, especially gastric or duodenal ulcers, is commonly associated with Helicobacter pylori infection, which is treated with antibiotics and antacids.
Correct Answer is A
Explanation
A. Decrease osteoclastic activity: Osteoporosis treatments often focus on reducing osteoclastic activity, which is responsible for bone resorption, thereby helping to maintain or increase bone density.
B. Increase the kidneys' tubular secretion of calcium into the urine: This would decrease calcium levels in the body, which is not desired in osteoporosis treatment, as it would worsen bone density.
C. Increase resorption of calcium: Increasing bone resorption would exacerbate osteoporosis by weakening the bones further.
D. Suppress calcitonin: Calcitonin helps to inhibit bone resorption, so suppressing it would be counterproductive in treating osteoporosis.
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