A nurse is reviewing the medical record of a client who has beers taking a medication that can cause hepatoxicity. Which of the following data should the nurse report to the provider?
HbA1C 5.9%
Albumin 3.8 g/dl
Alanine aminotransferase (ALT) 67 units/l
Aspartate aminotransferase (AST) 39 units/l
The Correct Answer is C
Here is the rationale for each choice:
A. HbA1C 5.9%: HbA1C is a measure of long-term glucose control in patients, often used in diabetes management. A value of 5.9% is slightly above the normal range (4–5.7%) but does not indicate hepatotoxicity.
B. Albumin 3.8 g/dl: Albumin is a protein produced by the liver, and its levels can reflect liver function. A normal range is 3.5–5 g/dl, and 3.8 g/dl falls within this range. Thus, it does not indicate hepatotoxicity.
C. Alanine aminotransferase (ALT) 67 units/l: ALT is an enzyme primarily found in the liver and is a key marker for liver injury. The normal range for ALT is approximately 7–56 units/l. A value of 67 units/l is slightly elevated, which may suggest mild liver damage or hepatotoxicity. This result should be reported to the provider, as it could be associated with the medication’s impact on the liver.
D. Aspartate aminotransferase (AST) 39 units/l: AST is another enzyme used to evaluate liver function, though it is less specific to the liver than ALT, as AST is also found in other tissues such as the heart and muscles. The normal range for AST is roughly 10–40 units/l.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Instruct the client to wait until you are completely finished before asking any questions – This discourages client engagement and may prevent the nurse from addressing concerns in real time.
B. Teach information at a 5th-grade level – While simple language is beneficial, the level should be tailored to the client’s comprehension rather than assuming all clients understand at a 5th-grade level.
C. Talk about the least important information in the beginning and the most important at the end – Clients may have limited attention spans, and it is better to start with essential information.
D. Use teach-back method and active learning: The teach-back method ensures that the client understands the medication instructions by asking them to repeat the information. Active learning engages the client in the learning process, improving retention.
Correct Answer is B
Explanation
A. A 1 mL TB syringe: Tuberculin syringes lack insulin unit markings, increasing the risk of dosing errors.
B. U-50 or U-100 insulin syringe: Insulin syringes are specifically calibrated in units, ensuring accurate insulin administration.
C. A 3 mL luer lock syringe: This type is not designed for insulin; it lacks unit measurements and may lead to errors.
D. Depends upon the type of insulin: All insulins should be administered using insulin syringes (U-50 or U-100), not different syringe types.
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