A patient in acute pain is admitted with pancreatitis. A nurse reviews a laboratory report showing an elevation that is diagnostic for acute pancreatitis. Which laboratory report did the nurse most likely review?
Serum amylase
Serum bilirubin
Serum calcium
Serum lipids
The Correct Answer is A
A. Serum amylase: Serum amylase levels are typically elevated in cases of acute pancreatitis. Amylase is an enzyme produced by the pancreas, and an elevation indicates pancreatic inflammation or injury.
B. Serum bilirubin: While elevated bilirubin levels can indicate liver or biliary issues, they are not diagnostic for pancreatitis.
C. Serum calcium: Hypocalcemia (low calcium) can be seen in severe acute pancreatitis, but it is not a primary diagnostic indicator for the condition.
D. Serum lipids: Elevated serum lipids (especially triglycerides) can contribute to pancreatitis, but they are not diagnostic for it. Serum amylase and lipase are more specific to the diagnosis of pancreatitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Constipation: This is a common side effect of calcium-based or aluminum-based antacids, not magnesium-based.
B. Diarrhea: Magnesium-based antacid preparations, such as magnesium hydroxide, commonly cause diarrhea because magnesium has an osmotic effect in the intestines, drawing water into the bowel and increasing motility.
C. Heartburn: Magnesium-based antacids are used to treat heartburn, not cause it.
D. Rebound indigestion: This is more commonly associated with calcium-based antacids, such as calcium carbonate.
Correct Answer is C
Explanation
A. Geriatric patient: Laxative use is not contraindicated in geriatric patients, but it should be used cautiously due to the risk of dehydration and electrolyte imbalances.
B. Patient with quadriplegia: Laxatives can be used for constipation in quadriplegic patients; however, they should be used carefully under medical supervision.
C. Patient with appendicitis: Laxative use is contraindicated in patients with appendicitis because it can increase the risk of perforation by stimulating bowel motility, which could lead to rupture and peritonitis.
D. Patient with fractured femur: Laxative use is not contraindicated in patients with a fractured femur. However, care should be taken to avoid dehydration and use appropriate methods for managing constipation.
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