The nurse is reviewing the laboratory values of a client with acute Pancreatitis. The nurse can anticipate an elevation in which of the following?

Blood sugar

Troponin

Brain Natriuretic Peptide

Lipase

Answer and Explanation

The Correct Answer is D

A. Blood sugar: Acute pancreatitis causes inflammation and damage to the pancreas, reducing insulin production, leading to hyperglycemia but it is not as specific as lipase for diagnosing pancreatitis.

B. Troponin: Troponin is a marker of myocardial injury (e.g., heart attack) and is not typically elevated in pancreatitis.

C. Brain Natriuretic Peptide (BNP): BNP is released in response to heart failure and does not typically rise in pancreatitis.

D. Lipase: Lipase is an enzyme produced by the pancreas to digest fats. In acute pancreatitis, lipase levels are significantly elevated due to pancreatic injury.

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Correct Answer is B

Explanation

A. Both require frequent surgery: While surgery may be required for complications of UC or CD, not all cases require frequent surgery. UC is more likely to be treated with total colectomy, while Crohn’s often requires surgery for strictures, fistulas, or bowel obstruction.

B. Both are inflammatory: Both ulcerative colitis (UC) and Crohn’s disease (CD) are types of inflammatory bowel disease (IBD) characterized by chronic inflammation of the gastrointestinal tract.

C. Both begin in the rectum: Ulcerative colitis starts in the rectum and progresses proximally, while Crohn’s disease can occur anywhere along the gastrointestinal tract (mouth to anus) but most commonly affects the ileum and colon.

D. Both manifest fistula formation: Fistulas (abnormal connections between organs) are common in Crohn’s disease but not in ulcerative colitis.

A. A client who works in a child care center B. A client who has recently traveled to a underdeveloped country C. A client who has multiple tattoos D. A client who eats raw shellfish

Correct Answer is C

Explanation

A. A client who works in a child care center: Hepatitis A is more commonly spread in child care settings due to fecal-oral transmission, not hepatitis C, which is bloodborne.

B. A client who has recently traveled to an underdeveloped country: Hepatitis A and E are more common in developing countries due to poor sanitation. Hepatitis C is primarily transmitted through blood.

C. A client who has multiple tattoos: Clients with multiple tattoos are at risk if proper sterilization techniques were not followed, as hepatitis C is transmitted through contaminated blood.

D. A client who eats raw shellfish: Raw shellfish is associated with hepatitis A, not hepatitis C.

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The nurse is reviewing the laboratory values of a client with acute Pancreatitis. The nurse can anticipate an elevation in which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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