A nurse is preparing to administer 2 medications via client's NG tube. Which of the following actions should the nurse take?

A) Prolonged PT/INR:
A prolonged PT/INR is typically associated with liver dysfunction or clotting disorders. While pancreatitis can lead to complications like bleeding, it does not directly cause a prolonged PT/INR. In the case of pancreatitis, the main concerns are related to enzymes, fluid and electrolyte imbalances, and potential organ dysfunction, but clotting issues are not a primary diagnostic feature.

B) Elevated lipase:
This is the most characteristic lab finding in pancreatitis. Lipase is an enzyme produced by the pancreas, and its levels rise significantly when the pancreas is inflamed. Elevated lipase levels are a key diagnostic indicator of pancreatitis, often seen alongside elevated amylase levels. This finding helps confirm the diagnosis and monitor the severity of the condition.

C) Decreased albumin:
Decreased albumin levels are typically seen in conditions that affect liver function, kidney disease, or malnutrition. While pancreatitis can lead to some degree of malnutrition or fluid shifts, a decreased albumin level is not a specific or expected finding in pancreatitis itself. The focus is more on enzyme levels and possible complications like hypocalcemia or hyperglycemia.

D) Elevated ammonia:
Elevated ammonia levels are generally indicative of liver dysfunction or hepatic encephalopathy, which occurs in severe liver disease. While pancreatitis can cause systemic complications, an elevated ammonia level is not a typical lab finding associated with pancreatitis. Ammonia is more commonly monitored in cases of liver failure or cirrhosis.

Correct answers: C

Rationale:

A. Staff members using a class A fire extinguisher for an electrical fire is incorrect and dangerous. Class A extinguishers are for ordinary combustibles like paper and wood. Electrical fires require class C extinguishers to prevent the conduction of electricity.

B. Reviewing the locations of fire extinguishers every 2 to 3 years is insufficient for an effective safety plan. Regular fire safety drills and location reviews should occur at least annually. Frequent reinforcement ensures rapid response during a real fire emergency.

C. An evacuation order when fire extinguishers are ineffective indicates an effective safety plan and sound clinical judgment. The priority in the RACE acronym is to rescue and then evacuate if the fire is not contained. This protects life when suppression fails.

D. Fire alarms having the same sound as other alarms is a failure in safety design. Distinctive auditory signals are required to prevent confusion during an emergency. Unique alarms ensure that staff and patients immediately identify the specific nature of the threat.