The nurse is collecting data for a patient with acute pancreatitis. Which laboratory test result should the nurse expect?
a. Decreased serum ammonia
b. Elevated serum albumin
c. Elevated serum amylase
d. Decreased serum lipase
ANS: C
Serum amylase (normal: 80 to 180 U/dL) and serum lipase (normal: 0 to 160 U/L) may be elevated 5 to 40 times normal. Albumin will be low. Ammonia is monitored in liver disease.
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A non-English-speaking school-age client is hospitalized with encephalitis and is experiencing delirium. Which intervention promotes a therapeutic environment for this child and family?
A) Making sure the parents can set up the treatments for their child B) Encouraging the family to remain at the bedside with the client C) Making sure the child comes back for the follow-up appointment D) Providing written instructions before discharge
The nurse notes that a client has the outcome goal "Client will have a decrease in pain level (down to a 3) within 45 minutes of receiving oral analgesic." Which client statement should the nurse use to evaluate this goal?
1. "I'm getting really sleepy from that medication. I think I'll take a nap." 2. "My pain is a 4." 3. "I still have some pain." 4. "Will the pain ever go away?"
The nurse is taking a health history of an 11-year-old girl with recurrent abdominal pain. Which response would lead the nurse to suspect irritable bowel syndrome?
A) "I always feel better after I have a bowel movement." B) "I don't take any medicine right now." C) "The pain comes and goes." D) "The pain doesn't wake me up in the middle of the night."
What action should the nurse take?
A. Apply gentle pressure over the bladder B. Continue the CBI, and notify the HCP C. Stop the CBI, and irrigate the catheter D. Gradually increase the flow rate of the CBI