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. Tetany of the hands with a positive Chvostek sign: Tetany and a positive Chvostek sign are more associated with hypocalcemia rather than Hashimoto's thyroiditis.
B. Polyuria, sweating, and dry mucous membranes: These symptoms are more indicative of hyperthyroidism or diabetes rather than hypothyroidism, which is characteristic of Hashimoto's thyroiditis.
C. Forgetfulness, depression, and anemia: Hashimoto's thyroiditis, which causes hypothyroidism, can lead to symptoms like forgetfulness, depression, and anemia due to reduced thyroid hormone levels.
D. Nervousness, irritability, and diarrhea: These symptoms are associated with hyperthyroidism rather than hypothyroidism.
Correct Answer is B
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.
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