The nurse is reviewing pathophysiology concepts to understand what is occurring with an adult patient who has abdominal pain and a serum conjugated bilirubin level of 1.2 mg/dL. What should the nurse suspect is occurring with this patient?
1. a disease that requires phototherapy
2. a disorder that causes large amounts of red blood cell death
3. a disorder of the biliary system
4. a small bowel obstruction
Correct Answer: 3
Elevated direct (conjugated) bilirubin may indicate obstructed bile flow in the biliary duct system. The laboratory finding does not provide information to identify red blood cell death or small bowel obstruction. Phototherapy is used in the care of the newborn.
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An employee asks for time off to be a juror in a case before the state appellate court. How should the nurse manager respond to this request?
1. Give the employee the time off because jury service is required upon subpoena. 2. Ask more questions, as state appellate courts have no jurors. 3. Insist that the employee contact the county clerk to request release from jury duty. 4. Refuse the request and refer the employee to the personnel department for review of the employee manual.
One of the implementations that the nurse could use to increase the comfort of a patient with oral hair leukoplakia is to:
1. allow aspirin to melt in the mouth and then wash out with warm water. 2. encourage warm salt water mouth rinses several times a day. 3. limit intake of ice cream and other cold foods. 4. offer fluids through a straw.
What is an appropriate statement to make when discussing battering with a victim?
a. Leave the abuser immediately. c. You do not deserve to be hit. b. He didn't mean to do it. d. Does he hit your children?
The nurse is reviewing a patient's urinalysis results: white blood cells (WBC) 100+/hpf; red blood cells (RBC) 4/hpf; bacteria, moderate amount; nitrite, positive; specific gravity, 1.025; urine, cloudy
What would the nurse recognize these finding as indicating? a. Dehydration b. Urinary tract infection c. Contamination of the specimen from bacteria on the perineum d. Contamination from menstruation