The nurse notes on a client's chart a report revealing unconjugated hyperbilirubinemia. The nurse explains the presence of unconjugated bilirubin indicates
a. a decreased amount of red cells are being destroyed.
b. biliary obstruction is preventing blood flow through the liver.
c. conjugated bilirubin must be converted to unconjugated bilirubin in the liver.
d. the kidneys are not converting unconjugated to conjugated bilirubin.
B
Unconjugated (indirect) bilirubin is perfused by blood flow through the liver, where it is con-verted to conjugated (direct) bilirubin, which is water soluble. The unconjugated bilirubin is not water soluble and remains in the circulating volume, indicating a biliary obstruction.
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The pediatric nurse is assessing a child who complains of a stomach ache. This is the child's fourth visit to the clinic for the same problem, and there has not been a diagnosis yet. What action by the nurse is best?
A. Ask about child's functioning and development. B. Instruct the mother not to keep the child home from school. C. Obtain a thorough family history from the mother. D. Perform an abdominal exam and document findings.
A nurse providing wellness seminars plans which of the following primary prevention activities related to sickle cell disease?
a. Have a "sick day management" tip sheet for those with SCD. b. Offer information on genetic counseling for SSD. c. Plan to have a list of community resources for the families of people with SCD. d. Provide a list of day care providers willing to care for children with SCD.
Which should the nurse recognize is the function of the duodenum?
A. Secretes hydrochloric acid B. Receives chyme from the stomach C. Performs most of the digestion and chemical absorption D. Reabsorbs water and vitamins
Which additional serum lab values best reflects nutritional malabsorption?
a. albumin 1.5g/dl b. calcium 8.5mg/dl c. BUN 20 d. sodium 148