A man, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider for treatment. The nurse notes that his skin and sclera are jaundiced. While reviewing his laboratory data, the nurse should expect to find a serum bilirubin level and a serum bilirubin level.
high unconjugated low direct
high conjugated: high direct
high direct: high unconjugated.
low indirect: normal unconjugated.
The Correct Answer is B
A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.
B. 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.
C. High direct, high unconjugated: Both direct (conjugated) and unconjugated bilirubin levels are elevated, but this does not clarify the direct relationship with jaundice.
D. Low indirect, normal unconjugated: In liver disease, bilirubin levels are elevated, not low or normal.
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 D
Explanation
A. Several episodes of black and tarry stools: This indicates melena, which is typically associated with upper gastrointestinal bleeding, not specifically Crohn's disease.
B. Several episodes of hematochezia per day: Hematochezia (fresh blood in stools) can occur in Crohn's disease due to inflammation and ulceration in the intestines.
C. Post-alcohol ingestion epigastric pain: This is more commonly associated with gastritis or peptic ulcer disease, not Crohn's disease.
D. An oral temperature of 102°F: While fever can occur in Crohn's disease during acute flare-ups, it is not a specific or definitive symptom of the condition. The primary symptoms are gastrointestinal in nature, such as abdominal pain and altered bowel habits.
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