The nurse is caring for a patient with chronic liver failure. Which laboratory value should the nurse expect as a late sign of liver failure?
a. Low serum albumin
b. Low serum bilirubin
c. Low serum ammonia
d. Low serum aspartate aminotransferase (AST)
ANS: A
Protein synthesis (albumin) is impaired in liver disease. B. C. D. Ammonia, bilirubin, and AST are all elevated in liver disease.
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A patient with hypofunction of the adrenal cortex has been admitted to the medical unit. What would the nurse most likely find when assessing this patient?
A) Increased body temperature B) Jaundice C) Copious urine output D) Decreased BP
The nurse admits a patient who is scheduled for surgery tomorrow morning. The nursing admission assessment indicates that the patient is mildly anxious about the procedure, does not drink alcohol or smoke, is married with two children,
and is allergic to kiwi, avocados, and penicillin. The nurse identifies the priority nursing diagnosis for this patient as: a. Fear b. Anxiety c. Risk for Latex Allergy Response d. Ineffective Airway Clearance
A client is being discharged and needs instructions on wound care. When planning to teach the client, the nurse should:
A) identify the client's learning needs and learning ability. B) identify the client's learning needs and advise him what to do. C) identify the client's problems and make the appropriate referral. D) provide pamphlets or videotapes for ongoing learning.
A combat veteran diagnosed with a mild TBI returned to college after discharge from the armed forces. The veteran began tutoring after scoring poorly in three courses. Which strategy can the tutor use to assist the veteran's academic achievement?
a. Decrease extraneous stimuli to improve attention span. b. Practice deep breathing to increase the brain's oxygen supply. c. Increase caffeine intake to counteract drowsiness and fatigue. d. Play background music while studying to improve concentration.