Which laboratory value would be elevated during periods of rapid growth or if a child had trauma or fractured a bone?
a. Alkaline phosphatase (ALP)
b. White blood cells (WBCs)
c. Erythrocyte sedimentation rate (ESR or SED)
d. C-reactive protein (CRP)
A
ALP is an enzyme found mainly in bone, liver, placenta, and kidney; levels may be elevated in bone disease, fractures, trauma, or liver disease and during periods of rapid growth. White blood cells would be elevated if the child had an infectious process. The SED rate is elevated in response to inflammation. The SED rate can be elevated in a child with juvenile arthritis, in musculoskeletal disorders, and in osteomyelitis. CRP is a protein that appears in blood because of an inflammatory process or infection.
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The nurse suspects the client is experiencing a manic episode based on which of the following observations?
a. Clothing is very colorful and mismatched, and client cannot sit in chair during interview. b. Hair is not combed, clothing is dirty, and client has no interest in surroundings. c. Client repeatedly washes her hands and picks at a button on her shirt. d. Client expresses fear that someone is waiting outside the room to harm her.
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Select all that apply. A) Report any itching after seven days of taking. B) Check with your healthcare provider before taking herbal remedies. C) Take at a different time of day than warfarin. D) Report bleeding or bruising to the healthcare provider. E) Do not skip any scheduled appointments to have blood drawn for labs.
The principle of self-determination concerns whether participation in a study was coerced
A) True B) False
Internal validity would be of most concern in which of the following study designs?
a. Correlational b. Descriptive c. Exploratory d. Quasi-experimental