When checking laboratory values on a client recovering from a fracture of the left femur, the nurse would expect to find which of the following changes?
A)
an increase in alkaline phosphatase
B)
an increase in uric acid
C)
a decrease in erythrocyte sedimentation rate (ESR)
D)
a positive antinuclear antibody (ANA)
A
Explanation:
A)
Alkaline phosphatase levels increase during bone healing and with bone tumors. Elevated uric acid levels are seen in gout. ESR is a nonspecific marker of inflammation; it may be elevated secondary to the trauma, but would not be specific to bone. ANA is found in autoimmune disorders.
Application
Assessment
Physiological Integrity: Physiological Adaptation
B)
Alkaline phosphatase levels increase during bone healing and with bone tumors. Elevated uric acid levels are seen in gout. ESR is a nonspecific marker of inflammation; it may be elevated secondary to the trauma, but would not be specific to bone. ANA is found in autoimmune disorders.
Application
Assessment
Physiological Integrity: Physiological Adaptation
C)
Alkaline phosphatase levels increase during bone healing and with bone tumors. Elevated uric acid levels are seen in gout. ESR is a nonspecific marker of inflammation; it may be elevated secondary to the trauma, but would not be specific to bone. ANA is found in autoimmune disorders.
Application
Assessment
Physiological Integrity: Physiological Adaptation
D)
Alkaline phosphatase levels increase during bone healing and with bone tumors. Elevated uric acid levels are seen in gout. ESR is a nonspecific marker of inflammation; it may be elevated secondary to the trauma, but would not be specific to bone. ANA is found in autoimmune disorders.
Application
Assessment
Physiological Integrity: Physiological Adaptation
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