A nurse is reviewing laboratory findings for three clients. Which of the following laboratory results should the nurse expect for a client who has pancreatitis?

Elevated lipase

Decreased albumin

Elevated ammonia

Prolonged PT/INR

Answer and Explanation

The Correct Answer is A

A.   Correct. Pancreatitis typically results in elevated serum lipase and amylase levels due to pancreatic inflammation.
B.   Incorrect. Decreased albumin might be seen in conditions affecting liver function or malnutrition but is not specific to pancreatitis.
C.   Incorrect. Elevated ammonia levels are often associated with liver dysfunction rather than pancreatitis.
D.   Incorrect. Prolonged PT/INR are indicators of impaired clotting, usually associated with liver disease rather than pancreatitis.

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Correct Answer is C

Explanation

A. Assisting the client to the bathroom at regular intervals helps prevent falls due to toileting needs.

B. Locking the wheels on the bed prevents unwanted movement and reduces the risk of falls when the client is in bed.

C. Raising all four side rails is considered a restraint, which can increase the risk of falls or injury if the client tries to climb over them. Restraints should be avoided unless absolutely necessary and prescribed by a healthcare provider. In most cases, raising two side rails is sufficient to prevent the client from accidentally rolling out of bed while allowing them to safely exit the bed.

D. Clearing the path from obstacles and furniture reduces the risk of falls by providing a safe and unobstructed route to the bathroom.

A. Dry mucous membranes B. Irregular heart rate C. Hyperactive reflexes D. Trousseau's sign

Correct Answer is B

Explanation

A. Incorrect. Dry mucous membranes are not typically associated with hyperkalemia.
B. Correct. Hyperkalemia can lead to cardiac dysrhythmias, including irregular heart rate.
C. Incorrect. Hyperactive reflexes are more commonly associated with hypokalemia (low potassium levels.
D. Incorrect. Trousseau's sign is a clinical indicator of hypocalcemia, not hyperkalemia.

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A nurse is reviewing laboratory findings for three clients. Which of the following laboratory results should the nurse expect for a client who has pancreatitis?

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