A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?
Antidiuretic hormone (ADH)
Amylase
Aspartate aminotransferase (AST)
Creatinine
The Correct Answer is C
A. Antidiuretic hormone (ADH) levels are not typically affected by alcohol or acetaminophen use.
B. Amylase levels are related to pancreatic function and are not specifically affected by alcohol or acetaminophen use.
C. Aspartate aminotransferase (AST) is a liver enzyme that can be elevated in alcohol-induced liver damage and acetaminophen toxicity.
D. Creatinine levels assess kidney function and are not typically affected by alcohol or acetaminophen use to the extent that AST levels are.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This statement indicates a need for further teaching as a high fiber diet is not directly related to reducing the risk of skin cancer.
B. Avoiding tanning booths is appropriate advice for preventing skin cancer due to the high exposure to UV radiation.
C. Using sunscreen on cloudy days is good advice as UV rays can penetrate through clouds and still cause skin damage.
D. Regularly checking the skin for changes is important for early detection of skin cancer and is appropriate advice.
Correct Answer is ["B","C","E"]
Explanation
A. Providing information on medication effects is within the nurse's scope of practice and does not typically require social work involvement.
B. Client B, who is hospitalized and wishes to keep up with school assignments, may need assistance with educational continuity plans.
C. Securing an emergency notification system involves social services to assess and arrange appropriate services.
D. Providing breastfeeding instructions is part of nursing care and does not typically require social work involvement.
E. Placement in an assisted living facility requires social work assistance to coordinate appropriate care and transition.
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