A nurse is reviewing the laboratory report for a client who has acute pancreatitis. The nurse should identify that which of the following findings indicates an improvement in the client's condition?

Increased serum amylase

Increased C-reactive protein

Decreased serum lipase

Decreased platelets

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Increased serum amylase is a common finding in acute pancreatitis, and its decrease would be a positive sign. However, lipase is a more specific marker for pancreatic injury.

Choice B rationale:

Increased C-reactive protein is a marker of inflammation and would not necessarily indicate improvement in pancreatitis.

Choice C rationale:

Decreased serum lipase indicates improvement in the pancreatic injury and is a positive sign.

Choice D rationale:

Decreased platelets would not specifically indicate improvement in acute pancreatitis.

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Correct Answer is C

Explanation

Choice A rationale:

A hemoglobin level of 13 g/dL is within the normal range and is not specifically indicative of HELLP syndrome.

Choice B rationale:

A blood urea nitrogen (BUN) level of 8 mg/dL is within the normal range and is not typically associated with HELLP syndrome.

Choice C rationale:

Elevated bilirubin levels are a characteristic feature of HELLP syndrome, which involves liver dysfunction.

Choice D rationale:

A hematocrit level of 38% is within the normal range and is not specifically indicative of HELLP syndrome.

A. "I need to make sure other members of my family get immunized against the disease." B. "Since I will stay in the hospital, I should begin the process of selling my home." C. "I will need to begin hospice care immediately." D. "I would like to talk to someone about creating a living will."

Correct Answer is D

Explanation

Choice A rationale:

Other family members or close contacts may consider immunization, but it is not directly related to the client's ALS diagnosis.

Choice B rationale:

Since the client has a new diagnosis of ALS, the immediate focus should not be on selling their home, but rather on understanding and managing the disease.

Choice C rationale:

Requiring hospice care immediately is not a standard recommendation for a client with ALS. The client's disease progression and needs will be assessed to determine the appropriate level of care.

Choice D rationale:

Creating a living will is important for clients with a terminal illness like ALS, as it allows them to express their wishes for medical treatment and care preferences in advance.

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A nurse is reviewing the laboratory report for a client who has acute pancreatitis. The nurse should identify that which of the following findings indicates an improvement in the client's condition?

Nursing Test Bank

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A nurse is reviewing the laboratory report for a client who has acute pancreatitis. The nurse should identify that which of the following findings indicates an improvement in the client's condition?