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. Low T4, High TSH: This pattern is seen in primary hypothyroidism, where the thyroid gland is underactive.
B. Low T4, high calcitonin: This choice is unrelated to the typical lab findings in Graves' disease. Calcitonin levels are not commonly assessed in thyroid disorders like Graves' disease.
C. High PSA and estrogen levels: PSA (Prostate-Specific Antigen) and estrogen levels are unrelated to Graves' disease, which is an autoimmune hyperthyroid condition.
D. High T4, low TSH: Graves' disease is characterized by hyperthyroidism, where T4 (thyroxine) levels are elevated, and TSH (Thyroid-Stimulating Hormone) levels are suppressed due to the negative feedback mechanism.
Correct Answer is A
Explanation
A. Ischemia of the brain tissue is causing cellular injury, swelling, and malfunction of the contralateral side: Hemiparesis occurs on the side opposite to the brain lesion due to the crossing (decussation) of motor pathways.
B. The functioning of the right cranial nerve controlling facial movement is compromised by cerebral edema: While facial nerve involvement can cause drooping, the hemiparesis suggests a central (brain) rather than peripheral issue.
C. The sensorimotor tracts leading from the brain to the body decussate and control the arm and leg on the same side as the lesion: This is incorrect because the tracts control the contralateral side of the body.
D. The corticospinal tracts leading from the brain to the body decussate and control the ipsilateral arm and leg: This is incorrect; the corticospinal tracts control the contralateral side.
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