A 58-year-old male patient with a history of colon cancer has developed jaundice. Which laboratory finding would most likely suggest liver metastasis as the cause of the jaundice?

Increased creatinine levels

Elevated serum amylase

Decreased albumin levels

Elevated serum bilirubin level

Answer and Explanation

The Correct Answer is D

A.   Increased creatinine levels may indicate kidney dysfunction, but it is not specifically related to liver metastasis.
B.   Elevated serum amylase is typically associated with pancreatic conditions and not directly with liver metastasis.
C.   Decreased albumin levels may occur with liver dysfunction but is not specific to liver metastasis.
D.   Elevated serum bilirubin levels are a key indicator of liver dysfunction, and when seen in the context of jaundice and a history of colon cancer, they strongly suggest liver metastasis as the underlying cause.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E"]

Explanation

A. Paresthesia, or abnormal sensations such as tingling or numbness, is a common symptom in patients with multiple sclerosis due to nerve damage.
B. Nausea and vomiting are not typical symptoms of multiple sclerosis but may occur in specific cases due to other complications.
C. Dysphagia, or difficulty swallowing, can occur in multiple sclerosis as a result of nerve damage affecting the muscles involved in swallowing.
D. Spasticity, or muscle stiffness, is common in multiple sclerosis due to damage to the nerve pathways that control muscle movement.
E. Vertigo, or dizziness, is a frequent symptom of multiple sclerosis due to lesions in the brainstem affecting balance.

A. Iron deficiency anemia B. Vitamin B12 deficiency anemia C. Thalassemia minor D. Anemia of chronic disease

Correct Answer is B

Explanation

A. Iron deficiency anemia typically presents with a low MCV, not an elevated MCV, and it is less likely to be associated with the symptoms of glossitis and peripheral neuropathy.
B. Vitamin B12 deficiency anemia is a likely diagnosis in this patient. Chronic alcohol use can lead to malabsorption of vitamin B12, which contributes to macrocytic anemia (high MCV). Symptoms like glossitis and peripheral neuropathy are common in B12 deficiency.
C. Thalassemia minor usually presents with microcytic anemia and would not typically cause the elevated MCV or neurological symptoms seen in this patient.
D. Anemia of chronic disease typically presents with a normal or low MCV and is not associated with elevated MCV or the neurological symptoms seen in this patient.

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A 58-year-old male patient with a history of colon cancer has developed jaundice. Which laboratory finding would most likely suggest liver metastasis as the cause of the jaundice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has multiple sclerosis. Which of the following assessment findings should the nurse anticipate? (Select All that Apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?

Correct Answer is B

Explanation

A 68-year-old male patient presents with symptoms of benign prostatic hyperplasia (BPH). Which findings are consistent with BPH? (Select All that Apply.)

A nurse is assessing a client who has multiple sclerosis. The client reports that, since the onset of the disease, there are times when their symptoms are active and then followed by a period with no symptoms. Which of the following types of multiple sclerosis does this pattern indicate?

A nurse is preparing to administer oxygen therapy to a patient who has just undergone abdominal surgery. Which of the following interventions is most important to ensure proper oxygenation?

A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

A patient with COPD is receiving oxygen therapy. Which considerations are important to ensure safe and effective oxygen administration for this patient? (Select All that Apply.)

A nurse is teaching a client who is at risk for osteoporosis. Which of the following instructions should the nurse include?

A 55-year-old patient is diagnosed with colorectal cancer. Which factors are associated with an increased risk of developing this type of cancer? (Select All that Apply.)