A client with liver disease presents with the following laboratory results: serum albumin 4.6 g/dL (normal range: 3.5-5.5 g/dL), serum ammonia 62 mcg/dL (normal range: 15-45 mcg/dL), hematocrit 41% (normal range: 37-47%), PT 13 seconds (normal range: 11-12.5 sec). Which assessment findings are consistent with these values?

Petechiae and bruising

Jaundice and pruritus

Dyspnea and fatigue

Asterixis and confusion

Answer and Explanation

The Correct Answer is D

Choice A reason: Petechiae and bruising could be related to low platelet counts or clotting issues, but they are not directly indicated by the provided lab values.

Choice B reason: Jaundice and pruritus are symptoms associated with liver disease but are not specifically indicated by the lab values provided.

Choice C reason: Dyspnea and fatigue could be symptoms of many conditions, including liver disease, but they are not directly indicated by the lab values provided.

Choice D reason: Asterixis, a flapping tremor of the hands, and confusion are signs of hepatic encephalopathy, which can be associated with elevated serum ammonia levels, as indicated by the lab results.

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Correct Answer is B

Explanation

Choice A reason: A high-fat diet is not recommended for clients with chronic pancreatitis as it can exacerbate symptoms and lead to malabsorption issues.

Choice B reason: Checking blood glucose is important because chronic pancreatitis can affect the endocrine function of the pancreas, potentially leading to diabetes.

Choice C reason: While a semi-Fowler's position may be comfortable for some patients, it is not specifically an intervention for chronic pancreatitis.

Choice D reason: Assessing for hypotension is a general nursing intervention but not specific to the management of chronic pancreatitis.

A. Assess temperature. B. Monitor urine output. C. Administer antibiotics. D. Evaluate current CBC (Complete Blood Count).

Correct Answer is C

Explanation

Choice A reason: While assessing temperature is important for monitoring infection, it is not the immediate priority in the treatment of UTI and sepsis.

Choice B reason: Monitoring urine output is crucial for a UTI but does not address the systemic infection that sepsis represents.

Choice C reason: Administering antibiotics is the most critical intervention for a client with sepsis due to a UTI, as it directly addresses the underlying infection and can be life-saving.

Choice D reason: Evaluating the current CBC is important for understanding the client's baseline and response to infection but is secondary to the administration of antibiotics.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with chronic pancreatitis. Which intervention is appropriate for this diagnosis?

Correct Answer is B

Explanation

The nurse is admitting a client diagnosed with a urinary tract infection (UTI) and sepsis. Which intervention would the nurse consider a priority?

Correct Answer is C

Explanation

A client with thyroid disease is being treated with propylthiouracil (PTU). Which statement made by the client indicates the medication therapy is effective?

Which diagnostic studies will the nurse monitor for the client being treated for sepsis? Select all that apply.

The nurse is admitting a client with a thyroid disorder who presents with periorbital edema, cold intolerance, and weight gain. Which intervention should the nurse include in this client's plan of care?

When assessing a client with sepsis, which finding would be consistent with the late phase of septic shock?

The nurse is providing education to the client with Parkinson's disease and their family. The nurse understands that teaching has not been effective when the client makes which of the following statements?

The clinic nurse notes that a client with Parkinson's disease has been taking levodopa and carbidopa (Sinemet) for 10 years. Which assessment finding would indicate the client is experiencing a side effect of this medication?

The nurse is reviewing data of a client receiving propylthiouracil (PTU). Which information indicates to the nurse that the client may be experiencing a side effect of this medication?