Which of the following is a diagnostic lab test for a client with pancreatitis?
Complete blood count (CBC)
AST/ALT
Blood glucose
Amylase and lipase levels
The Correct Answer is D
Rationale:
A. A CBC may show leukocytosis but is not diagnostic for pancreatitis.
B. AST/ALT may be elevated if biliary obstruction is present, but they are not specific for pancreatitis.
C. Blood glucose may rise in pancreatitis due to impaired insulin release, but it is not diagnostic.
D. Amylase and lipase levels are the primary diagnostic lab tests for acute pancreatitis, with lipase being more specific and remaining elevated longer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Tachycardia may occur secondary to hypotension, but it is a secondary concern, not the primary pharmacological issue.
B. Paracentesis does not directly affect blood glucose levels.
C. While changes in bowel habits may occur with fluid shifts, they are not the primary concern after paracentesis.
D. Removal of large volumes of ascitic fluid can lead to intravascular volume depletion, resulting in hypotension. Monitoring blood pressure before, during, and after the procedure is essential, and volume replacement may be required to maintain hemodynamic stability.
Correct Answer is ["C","E"]
Explanation
Rationale:
A. The client should not infuse dextrose solution independently if TPN runs out; this could cause serious metabolic complications.
B. TPN should not be stopped abruptly once weight gain is achieved; discontinuation should be gradual to prevent hypoglycemia.
C. Maintaining the prescribed infusion rate is important to ensure proper nutrient delivery and prevent metabolic complications.
D. TPN should never be shaken if a precipitate is present; this can cause embolism or catheter occlusion.
E. TPN should be refrigerated when not in use to prevent bacterial contamination and preserve solution stability.
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