A nurse is caring for a client with acute pancreatitis.

Which laboratory result would the nurse expect to find elevated?

Serum amylase.

Serum potassium.

Serum calcium.

Serum sodium.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Serum amylase is typically elevated in acute pancreatitis. It is one of the key diagnostic markers for this condition.
Choice B rationale
Serum potassium levels are not typically elevated in acute pancreatitis. Potassium levels are more commonly associated with kidney function and electrolyte balance.
Choice C rationale
Serum calcium levels are usually decreased, not elevated, in acute pancreatitis. Hypocalcemia can occur due to fat saponification in the pancreas.
Choice D rationale
Serum sodium levels are not typically elevated in acute pancreatitis. Sodium levels are more related to overall fluid balance and kidney function.

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Correct Answer is A

Explanation

Choice A rationale
A temperature of 38°C (100.4°F) and a stiff neck are classic signs of meningitis, indicating inflammation of the meninges.
Choice B rationale
Myocardial infarction typically presents with chest pain, not a stiff neck.
Choice C rationale
Appendicitis presents with abdominal pain, not a stiff neck.
Choice D rationale
Pneumonia presents with respiratory symptoms, not a stiff neck.

A. Administering supplemental oxygen. B. Encouraging the client to use an incentive spirometer. C. Administering a bronchodilator as prescribed. D. Positioning the client in high Fowler’s position.

Correct Answer is A

Explanation

Choice A rationale
Administering supplemental oxygen is the priority intervention for a client with COPD who has an oxygen saturation of 88% on room air. This low oxygen saturation indicates hypoxemia, which requires immediate correction to prevent further respiratory distress.
Choice B rationale
Encouraging the client to use an incentive spirometer is important for lung expansion and preventing atelectasis, but it is not the priority intervention in this scenario. The immediate concern is to correct the hypoxemia.
Choice C rationale
Administering a bronchodilator as prescribed is important for managing COPD symptoms, but the priority intervention is to correct the hypoxemia by administering supplemental oxygen.
Choice D rationale
Positioning the client in high Fowler’s position can help improve breathing, but the priority intervention is to correct the hypoxemia by administering supplemental oxygen.

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A nurse is caring for a client with acute pancreatitis. Which laboratory result would the nurse expect to find elevated?

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Naxlex Comprehensive Predictor Exams

A client presents with a temperature of 38°C (100.4°F) and a stiff neck. Which condition should the nurse suspect?

Correct Answer is A

Explanation

A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with increased shortness of breath and a productive cough. The nurse notes the client’s oxygen saturation is 88% on room air. Which of the following interventions should the nurse implement first?

Correct Answer is A

Explanation

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A nurse is caring for a client with acute pancreatitis.

Which laboratory result would the nurse expect to find elevated?