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. 1 hour after meals: Sucralfate works by forming a protective barrier over ulcers. It is best absorbed when the stomach is empty, so taking it after meals reduces its effectiveness.
B. 1 hour before meals: Sucralfate should be administered 1 hour before meals to allow it to form a protective barrier in the stomach lining without interference from food.
C. With meals: Taking sucralfate with meals can interfere with its ability to coat the stomach effectively.
D. With a bedtime snack: Sucralfate should be taken on an empty stomach for optimal effectiveness, not with food.
Correct Answer is B
Explanation
A. Gastric reflux syndrome: Reflux is unlikely to cause systemic symptoms such as sweating or rapid gastrointestinal symptoms.
B. Dumping syndrome: Rapid infusion of nutrients into the small intestine can cause fluid shifts, leading to symptoms such as sweating, diarrhea, and abdominal distention.
C. Expected reaction to the tube feeding: These symptoms are not expected or normal.
D. Onset of gastroenteritis: Gastroenteritis is typically caused by an infection and presents with additional symptoms like fever and persistent vomiting.
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