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 C
Explanation
A. Non-bloody diarrhea with abdominal cramps: These symptoms are not typical of pancreatitis. They are more common in gastrointestinal infections or irritable bowel syndrome.
B. Belching and burping within one hour after eating: These symptoms are usually associated with gastroesophageal reflux disease (GERD) or dyspepsia, not pancreatitis.
C. Severe epigastric pain that radiates to his back: Severe epigastric pain that radiates to the back is a hallmark symptom of acute pancreatitis.
D. Heartburn that worsens when lying down: This symptom is more characteristic of GERD rather than pancreatitis.
Correct Answer is C
Explanation
A. Administer some insulin: Insulin is not appropriate unless there is evidence of hyperglycemia, which is not suggested by the symptoms described.
B. Prepare the patient to receive a blood transfusion: The symptoms described are not indicative of a need for a blood transfusion but rather suggest adrenal insufficiency.
C. Administer IV glucose: Addisonian crisis can be triggered by stress and dehydration, leading to low blood sugar and symptoms such as weakness and confusion. Administering IV glucose can help manage hypoglycemia and provide immediate support.
D. Collect some urine and assess for glucosuria: The symptoms are more acute and related to adrenal insufficiency rather than glucosuria.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.