A patient's abdominal ultrasound indicates cholelithiasis. When the nurse is reviewing the patient's laboratory studies, what finding is most closely associated with this diagnosis?
A) Increased bilirubin
B) Decreased serum cholesterol
C) Increased blood urea nitrogen (BUN)
D) Decreased serum alkaline phosphatase level
Ans: A
Feedback:
If the flow of blood is impeded, bilirubin, a pigment derived from the breakdown of red blood cells, does not enter the intestines. As a result, bilirubin levels in the blood increase. Cholesterol, BUN, and alkaline phosphatase levels are not typically affected.
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When preparing the patient for an amniocentesis, the nurse should:
a. restrict food intake. b. restrict fluid intake. c. monitor fetal heart tones. d. inform patient results will be available immediately.
You suspect your patient has a pleural effusion. Which of the following respiratory findings would you expect to find upon assessment of your patient?
A) Increased tactile fremitus, egophony, and a dull sound upon percussion of the chest wall B) Decreased tactile fremitus, wheezing, and a hyperresonant sound upon percussion of the chest wall C) Lung fields dull to percussion, absent breath sounds, and a pleural friction rub D) Normal tactile fremitus, decreased breath sounds, and a resonant sound upon percussion of the chest wall
A hospital has implemented a policy whereby parental consent is required before a PKU test is drawn. The laboratory technician says,
"I don't see why we need a special consent for a PKU. It is a blood test just like a potassium level." How should the nurse respond? 1. "I don't understand either, but we should follow the rules." 2. "Isn't a PKU more expensive to run than simple tests like potassium levels?" 3. "PKU is a genetic test, which is different from a simple electrolyte level." 4. "Before long we will have to get consent for each test we draw."
The nurse uses the PLISSIT format in helping clients who have sexual dysfunction. Which action by the nurse best reflects the IT section of this format?
1. Use information technology such as the Internet to obtain guidance suggestions for the client. 2. Use the technique of informal therapeutic groups to assist the client and partner. 3. Evaluate previous interventions and treatment for success. 4. Recommend intensive therapy with a qualified sex therapist.