In a client admitted with cirrhosis of the liver, which serum levels would the nurse expect to be elevated?
A. Serum amylase and lipase
B. Serum ammonia
C. Serum calcium
D. Serum CEA
B
Serum ammonia levels are elevated in conditions that incur hepatocellular injury, such as cirrhosis of the liver. Increased serum amylase and lipase levels are indicators of pancreatitis. CEA levels are useful in assessing the success of cancer therapy or the recurrence of cancer.
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After undergoing dural puncture while receiving epidural pain medication, a patient complains of a headache. Which action can help alleviate the patient's pain?
1) Encourage the client to ambulate to promote flow of spinal fluid. 2) Offer caffeinated beverages to constrict blood vessels in his head. 3) Encourage coughing and deep breathing to increase CSF pressure. 4) Restrict oral fluid intake to prevent excess spinal pressure.
What disease processes require airborne precautions? (Select all that apply.)
a. Measles b. Varicella c. Pertussis d. Meningitis e. Tuberculosis
A teenager has recently lost a parent. Which grieving behavior should a school nurse expect when assessing this client?
A. Denial of personal mortality B. Preoccupation with the loss C. Clinging behaviors and personal insecurity D. Acting-out behaviors, exhibited in aggression and defiance
A nurse is found to be negligent. The doctrine of respondeat superior says that when a nurse is employed and functioning within the scope of that job, the one responsible for that negli-gence is the:
1. Administrator 2. Nurse's immediate supervisor 3. Nurse's employer 4. Patient's physician