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 C
Explanation
A. A sudden, explosive, disorderly charge of neurons causes a transient aberration in brain function: This describes the pathophysiology of seizures, not myasthenia gravis.
B. Loss of the myelin sheath surrounding peripheral nerves causes asymmetric weakness: This describes multiple sclerosis, not myasthenia gravis.
C. Destruction of acetylcholine receptors causes muscle weakness with prolonged activity: Myasthenia gravis is an autoimmune disease where antibodies attack acetylcholine receptors at the neuromuscular junction, leading to muscle weakness, especially after repeated use.
D. A bacterial inflammatory illness that causes headache and photophobia: This describes meningitis, not myasthenia gravis.
Correct Answer is A
Explanation
A. There is an imbalance between the formation of new bone and the resorption of existing bone: Osteoporosis occurs when bone resorption outpaces bone formation, leading to decreased bone density and increased susceptibility to fractures.
B. An invasion of a pathogen leads to infection, causing destruction and weakening of the bone: This describes osteomyelitis, a bone infection, not osteoporosis.
C. A decrease in blood supply to the bone results in bony necrosis or the death of bone cells: This describes avascular necrosis, not osteoporosis.
D. Increased amounts of estrogen in postmenopausal women contribute to bone loss: In fact, decreased estrogen levels after menopause contribute to bone loss and osteoporosis.
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