A patient is admitted to the emergency department (ED) following an overdose of acetaminophen (Tylenol) and is diagnosed with cirrhosis. Which laboratory finding is consistent with the diagnosis?
elevated serum protein hyperproteinemia
decreased serum liver enzymes (ALT).
elevated number of platelets thrombocytosis)
decreased level of clotting factors.
The Correct Answer is D
26. A patient is admitted to the emergency department (ED) following an overdose of acetaminophen (Tylenol) and is diagnosed with cirrhosis. Which laboratory finding is consistent with the diagnosis?
- elevated serum protein hyperproteinemia
- decreased serum liver enzymes (ALT).
- elevated number of platelets thrombocytosis)
- decreased level of clotting factors.
Correct answer:
A. Elevated serum protein hyperproteinemia: In cirrhosis, serum protein levels, particularly albumin, are often decreased due to impaired liver synthesis.
B. Decreased serum liver enzymes (ALT): In cirrhosis, liver enzyme levels such as ALT (alanine aminotransferase) are typically elevated due to liver damage and inflammation.
C. Elevated number of platelets (thrombocytosis): Cirrhosis often leads to thrombocytopenia (decreased platelet count) due to splenomegaly and decreased production of thrombopoietin.
D. Decreased level of clotting factors: The liver synthesizes most clotting factors, and in cirrhosis, the production of these factors is impaired, leading to decreased levels and increased bleeding risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Manifests as neurofibrillary tangles and amyloid plaques that cause a disruption of brain impulses: Alzheimer's disease is characterized by the accumulation of amyloid plaques and neurofibrillary tangles in the brain, leading to disrupted neural communication.
B. Is an inherited disorder that, most often, begins before the age of fifty: While there are inherited forms of Alzheimer's (early-onset), most cases are sporadic and occur after age 65.
C. Can be caused by increased cerebral levels of acetylcholine: Alzheimer's disease is associated with decreased levels of acetylcholine, not increased levels.
D. Causes unusual sensory sensations such as numbness and shooting pain (paresthesia): Paresthesia is not a typical symptom of Alzheimer's disease; it is more related to neurological or peripheral nerve disorders.
Correct Answer is A
Explanation
A. Adherence to a low-fat diet: The patient likely experienced a transient ischemic attack (TIA), which is a warning sign for future strokes. A low-fat diet is recommended to help manage cholesterol and reduce the risk of atherosclerosis and stroke.
B. The administration of clot-busting drugs: Clot-busting drugs (thrombolytics) are used in the acute management of a stroke, but this patient’s symptoms resolved spontaneously, and the focus is on prevention.
C. Reporting any signs of heat or cold intolerance: This is unrelated to the prevention of stroke or management after a TIA.
D. Avoiding red wine and chocolate: While moderation in alcohol and certain foods is generally advised for overall health, this specific recommendation does not address the primary concern of preventing future cerebrovascular events.
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