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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Perforation: A temperature of 102.4° F and abdominal rigidity are suggestive of peritonitis, which is a potential complication of diverticulosis. Perforation of a diverticulum can lead to leakage of intestinal contents into the abdominal cavity, causing infection and inflammation.
B. Obstruction: Although obstruction can occur in diverticulosis, it typically causes symptoms such as bloating, abdominal distention, and pain, not fever and rigidity.
C. Infection: While infection can occur with diverticulosis, fever and rigidity in this scenario are more likely due to perforation leading to peritonitis, which is a more severe condition.
D. Constipation: While constipation can exacerbate diverticulosis, it would not typically cause fever or abdominal rigidity.
Correct Answer is B
Explanation
A. Decrease the potential for thrombus formation: Metoclopramide is not used to prevent thrombus formation; this is typically managed with anticoagulants or other interventions.
B. Prevent postoperative nausea and vomiting: Metoclopramide is a prokinetic agent that helps in increasing gastric motility and is commonly used to prevent or treat nausea and vomiting after surgery.
C. Prolong the effects of anesthesia: Metoclopramide does not affect the duration of anesthesia. It is primarily used for nausea and vomiting.
D. Decrease postoperative pain: Metoclopramide does not have analgesic properties and is not used for pain management postoperatively.
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