A client is admitted for suspected cholecystitis. On reviewing laboratory results, the nurse notes that the client's amylase is elevated. Which action by the nurse is best?
a. Document the finding in the chart.
b. Ask the client about drinking habits.
c. Notify the health care provider.
d. Place the client on clear liquids.
B
Serum and urine amylase levels are elevated when the pancreas becomes inflamed. One cause of pancreatitis is gallbladder disease; another causative factor is alcohol intake. The nurse should tactfully explore this subject with the client before documenting the findings and notifying the provider. The client may need to be NPO or on clear liquids, but the nurse does not have enough information yet to determine this.
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a. "Aneurysms are caused by a hereditary lack of elastin in the arterial wall. Have any relatives had this problem?" b. "Aneurysms are often asymptomatic until they start leaking or pressing on other structures." c. "Didn't you see the X-ray pictures of the aneurysm?" d. "Why don't you seek a second opinion?"
Which activity would be most beneficial in educating children regarding hospitals and hospitalization?
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Insulin-dependent diabetes results from
A. decreased glucose production. B. decreased or no insulin production. C. increased insulin production. D. excessive glucose production.
When a client is deprived of sleep, the nurse might assess which of the following symptoms?
a. Elevated blood pressure b. Confusion and irritability c. Inappropriateness and rapid respirations d. Decreased temperature and talkativeness