When analyzing laboratory values, for a patient diagnosed with Graves' disease, the nurse would expect to find a

low T4, High TSH.

low T4, high calcitonin

high PSA and estrogen levels.

HighT4, low TSH.

Answer and Explanation

The Correct Answer is D

A. Low T4, High TSH: This pattern is seen in primary hypothyroidism, where the thyroid gland is underactive.

B. Low T4, high calcitonin: This choice is unrelated to the typical lab findings in Graves' disease. Calcitonin levels are not commonly assessed in thyroid disorders like Graves' disease.

C. High PSA and estrogen levels: PSA (Prostate-Specific Antigen) and estrogen levels are unrelated to Graves' disease, which is an autoimmune hyperthyroid condition.

D. High T4, low TSH: Graves' disease is characterized by hyperthyroidism, where T4 (thyroxine) levels are elevated, and TSH (Thyroid-Stimulating Hormone) levels are suppressed due to the negative feedback mechanism.

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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.

A. Esophageal varices. B. Colorectal cancer. C. Inflammatory bowel disease. D. Appendicitis

Correct Answer is A

Explanation

A. Esophageal varices: Coffee-ground emesis suggests upper gastrointestinal bleeding, which is often due to ruptured esophageal varices in patients with cirrhosis.

B. Colorectal cancer: This condition typically presents with lower gastrointestinal symptoms such as changes in bowel habits or blood in the stool, not coffee-ground emesis.

C. Inflammatory bowel disease: This condition can cause gastrointestinal bleeding but is more commonly associated with symptoms like diarrhea and abdominal pain rather than coffee-ground emesis.

D. Appendicitis: This condition typically presents with right lower quadrant pain, not upper GI bleeding.

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When analyzing laboratory values, for a patient diagnosed with Graves' disease, the nurse would expect to find a

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Naxlex Comprehensive Predictor Exams

Which manifestations (S&S) alert the nurse to the possibility of pancreatitis in the patient who has elevated serum amylase and lipase levels?

Correct Answer is C

Explanation

A patient, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider because he vomited something that looked like coffee grounds. Which health problem would the care team first suspect?

Correct Answer is A

Explanation

A man, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider for treatment. The nurse notes that his skin and sclera are jaundiced. While reviewing his laboratory data, the nurse should expect to find a serum bilirubin level and a serum bilirubin level.

A patient with leukocytosis, fever and left lower quadrant (LLQ) pain will most likely have a diagnosis of

A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.

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