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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["B","E","F"]

Explanation

Rationale:
A. Family history increases risk for heart disease and arthritis but is not a direct risk factor for peptic ulcer disease.
B. Smoking increases gastric acid secretion, reduces mucosal healing, and significantly raises PUD risk.
C. Alcohol use is denied by the client and therefore is not a contributing factor in this case.
D. Adalimumab use (an immunosuppressant for rheumatoid arthritis/psoriasis) does not directly increase PUD risk.
E. NSAIDs inhibit prostaglandin synthesis, reducing the gastric mucosal barrier and predisposing to ulcer formation.
F. H. pylori infection is a primary cause of peptic ulcers due to its damaging effect on gastric mucosa.

Correct Answer is []

Explanation

Rationale:

Potential Condition: The client developed new onset of severe, frequent diarrhea after receiving IV antibiotics (cefazolin), along with fever, abdominal cramping, dehydration (dry mucous membranes), and hyperactive bowel sounds. These are hallmark features of Clostridioides difficile colitis.
Actions to Take:
- Contact precautions (gown and gloves) are essential to prevent transmission since C. difficile is highly contagious.
- IV fluids help correct dehydration and electrolyte losses caused by frequent diarrhea.
Parameters to Monitor:
- Serum potassium should be monitored because diarrhea causes large potassium losses, risking hypokalemia.
- Blood pressure should be tracked closely since dehydration and electrolyte loss can lead to hypotension and hemodynamic instability.

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Which of the following is a diagnostic lab test for a client with pancreatitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a client. Exhibits Select the 3 findings from the client's medical record that increase their risk for peptic ulcer disease (PUD).

Correct Answer is ["B","E","F"]

Explanation

Correct Answer is []

Explanation

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