A client is seeing the physician for a suspected tumor of the liver. What laboratory study results would indicate that the client may have a primary malignant liver tumor?
A) Elevated white blood cell count
B) Elevated alpha-fetoprotein
C) Decreased AST levels
D) Decreased alkaline phosphatase levels
B
Feedback:
Alpha-fetoprotein, a serum protein normally produced during fetal development, is a marker that, if elevated, can induce a primary malignant liver tumor. Total bilirubin and serum enzyme levels may be elevated. White blood cell count elevation would indicate an inflammatory response.
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_____ is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients
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The nurse is assessing the fundus of the elderly client's eye with an ophthalmoscope. The nurse determines that there is a cyst within the macula. Which of the following client symptoms may be associated with this finding?
1. Impaired central vision 2. Impaired peripheral vision 3. Consistently elevated serum glucose levels 4. Uncontrolled hypertension
A client has been taught about lifestyle changes to help manage newly diagnosed diabetes mellitus type 2 . Which statement by the client indicates good understanding?
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A patient with no documented drug allergies experiences a highly unpredictable response to a drug. The nurse realizes this patient experienced a(n):
a. drug tolerance c. drug allergy b. idiosyncratic reaction d. adverse effect