The nurse is caring for a patient with a suspected bone tumor. Which serum laboratory result indicates to the nurse that this health problem is present?
a. Decreased calcium
b. Increased magnesium
c. Increased creatine kinase
d. Elevated alkaline phosphatase
ANS: D
Alkaline phosphatase (ALP) is an enzyme that increases when bone or liver tissue is damaged. In metabolic bone diseases and bone cancer, ALP increases to reflect osteoblast or bone-forming cell activity. A. Serum calcium tends to decrease in patients with osteoporosis or in people who consume inadequate amounts of calcium in their diets. Serum calcium levels increase in patients with bone cancer. B. Magnesium is not an identified laboratory test to monitor for this patient. C. Creatine kinase is monitored for muscle disease.
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The nurse counsels the immobilized patient in regard to prevention of muscle atrophy and contractures. What will the nurse be sure to include when counseling this patient?
a. The need for additional calcium b. The need for additional protein c. The need for some type of exercise d. The need for a special protective bed
An older woman with breast cancer has completed a course of external radiation and is receiving chemotherapy
After her recent chemotherapy treatment, she complains of severe weakness, dizziness, and leth-argy and is admitted to the hospital. Her platelet count is 45,000. Based on this scenario, what nursing intervention is of the highest priority? a. Preventing falls b. Maintaining skin integrity c. Preventing infection d. Replacing fluids
The nurse is teaching a client about the importance of enzymes to digestion. The nurse explains that digestive enzymes are secreted by the:
Standard Text: Select all that apply. 1. salivary glands. 2. stomach. 3. large intestine. 4. small intestine. 5. liver.
Which of the following statements does NOT describe a primary function of the liver?
A. Detoxification and excretion of various substances B. Metabolism of ingested carbohydrates, protein, and fat C. Synthesis of various substances, including plasma proteins and proteins taking part in blood clotting D. Storage of chemicals such as sodium, phosphorus, and potassium E. None of the above