The nurse is caring for a client newly admitted to the hospital with uncomplicated cholelithiasis. Based on this data, which laboratory value does the nurse anticipate to be elevated?
A) Mean corpuscular hemoglobin concentration (MCHC)
B) Indirect bilirubin
C) Serum amylase
D) Alkaline phosphatase
Answer: D
Obstructive biliary disease causes a significant elevation in alkaline phosphatase. Obstruction in the biliary tract causes an elevation in direct bilirubin, not indirect bilirubin. The client's serum amylase and MCHC are unrelated.
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