The client is admitted to the medical unit with suspected acute pancreatitis. Which laboratory values should the nurse monitor to confirm this diagnosis?
Serum bilirubin and calcium
Serum amylase and lipase
Creatinine and BUN
Troponin and CK-MB
The Correct Answer is B
A. Serum bilirubin and calcium can be affected in pancreatitis but are not the primary diagnostic indicators.
B. Serum amylase and lipase are the primary enzymes used to diagnose acute pancreatitis. These enzymes are released by the pancreas, and their levels rise significantly in response to pancreatic inflammation. Lipase, in particular, is more specific to pancreatitis and remains elevated longer than amylase.
C. Creatinine and BUN assess kidney function and are not directly related to diagnosing pancreatitis.
D. Troponin and CK-MB are cardiac markers used to diagnose myocardial infarction, not pancreatitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This is an inaccurate explanation and may confuse the client.
B. Both medications are used together temporarily for proper anticoagulation management.
C. The simultaneous use is intentional and part of standard treatment, not a mistake.
D. Warfarin has a delayed onset and takes several days to become effective. Heparin is continued during this period to provide immediate anticoagulation. Once warfarin reaches therapeutic levels, heparin is discontinued.
Correct Answer is B
Explanation
A. Nail polish does not protect nail beds from injury and may even mask early signs of problems.
B. Smoking causes vasoconstriction and worsens Raynaud's symptoms; quitting smoking is essential.
C. Wearing warm clothing is important in cold climates to prevent vasospasm, but not necessary in warm climates.
D. Wearing gloves is advised during cold exposure or specific activities, not necessarily for all hand activities.
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