The nurse is reviewing the presurgical patient's lab reports and notes an elevated aspartate aminotransferase (AST) and bilirubin. The nurse is most concerned that this patient is at risk for:

a. excessive bleeding during or after surgery.
b. an increased serum albumin level.
c. postsurgical respiratory infection.
d. delayed wound healing.


A
The AST and bilirubin are liver studies. Elevated levels may indicate a dysfunctional liver. The liver is directly involved with clotting factors; therefore, this patient would be at risk for exces-sive bleeding. The serum albumin level would most likely be decreased if the liver is not func-tioning properly. Postsurgical wound infection and delayed wound healing risks are not directly related to liver function.

Nursing

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