A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.
High conjugated, high direct: In cirrhosis and alcoholic liver disease, the liver's ability to process bilirubin is impaired, leading to elevated levels of both conjugated (direct) and unconjugated bilirubin, causing jaundice.
High direct, high unconjugated: Both direct (conjugated) and unconjugated bilirubin levels are elevated, but this does not clarify the direct relationship with jaundice.
Low indirect, normal unconjugated: In liver disease, bilirubin levels are elevated, not low or normal.
The Correct Answer is D
A. Hyperproteinemia and increased drug effect: In cirrhosis, hypoproteinemia (low protein levels) occurs due to decreased protein synthesis by the liver, and drug metabolism is often impaired, leading to increased drug effects, but hyperproteinemia is not a typical finding.
B. Hyperkalemia and fluid retention: While fluid retention is common due to hypoalbuminemia and portal hypertension, hyperkalemia is not a direct consequence of hepatocyte dysfunction.
C. Hypercortisolism and increased infection risk: Hypercortisolism is not typically associated with cirrhosis. However, increased infection risk is common due to compromised immune function.
D. An elevated blood glucose and ammonia level: In cirrhosis, the liver's ability to metabolize ammonia is impaired, leading to elevated levels. Additionally, impaired glucose metabolism can result in hyperglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You have irreparably damaged your liver, there is no available treatment at this time.": Hepatitis A is usually a self-limiting illness with full recovery, and the liver often heals completely.
B. "A vaccine could have prevented this illness but a full recovery typically occurs with HAV.”: Hepatitis A can be prevented by vaccination, and most people recover fully without lasting liver damage.
C. "You likely came in contact with HAV-infected blood to have contracted this disease.": Hepatitis A is transmitted primarily through the fecal-oral route, not through blood contact.
D. "Expect to feel better in about a month but expect to have the symptoms for life.": While symptoms can last for several weeks to months, they do not persist for life in hepatitis A infections.
Correct Answer is A
Explanation
A. Status epilepticus: Status epilepticus is a life-threatening condition where seizure activity is continuous or occurs in rapid succession without recovery between seizures.
B. Anticonvulsant syndrome: This term is not a recognized medical condition.
C. Syphilitic posturing: This term is not associated with seizure disorders and is not a recognized condition.
D. Positive Babinski reflex: This indicates an upper motor neuron lesion but is not related to continuous seizure activity.
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