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 A
Explanation
A. "Administer with a full glass of water.": Psyllium is a bulk-forming laxative that absorbs water in the intestines. Sufficient hydration is essential to prevent obstruction or impaction.
B. "Avoid mixing in juice.": Psyllium can be mixed in any non-carbonated liquid, including juice, making this instruction unnecessary.
C. "Fat-soluble vitamin deficiency is common.": Psyllium does not interfere with fat-soluble vitamin absorption, so this statement is incorrect.
D. "Limit the intake of high-fiber foods.": Psyllium complements a high-fiber diet, so restricting fiber is counterproductive.
Correct Answer is A
Explanation
A. Flush the tube: Flushing the tube before administering a feeding ensures that the tube is patent and free of blockages, which helps prevent aspiration or feeding tube complications.
B. Roll the patient flat: Rolling the patient flat is not necessary for administering a tube feeding, as most feeding tubes are positioned with the head of the bed elevated to reduce the risk of aspiration.
C. Check for a residual formula and return the residual to his or her stomach: While checking for residuals is important for assessing gastric emptying and tolerance to the feeding, it is not the first action before starting the feeding.
D. Place the end of the tube in water and check for bubbles: This action is used to check the placement of the tube (i.e., confirming it is in the stomach or intestine), but it’s not directly related to the initial steps before administering a feeding.
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