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 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.
Correct Answer is D
Explanation
A. Obesity, age over 40, and female gender: While obesity and age can be risk factors for GERD, gender alone is not a significant factor. Excessive alcohol consumption, as indicated in option D, is a stronger link to GERD.
B. Accelerated gastric emptying: This is incorrect. GERD is more commonly associated with delayed gastric emptying or increased acid production rather than accelerated gastric emptying.
C. Incompetent rectal sphincter: This is incorrect. GERD is associated with an incompetent lower esophageal sphincter, not the rectal sphincter.
D. Drinking 12 cans of beer per day: Excessive alcohol consumption can relax the lower esophageal sphincter and increase the risk of GERD by allowing stomach acid to flow back into the esophagus.
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