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3 Cards in this Set
- Front
- Back
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A nurse is caring for a client with acute pancreatitis. After treatment begins, the nurse anticipates that which serum lab value will return to normal within 72 hours?
A. aldolase B. lipase C. amylase D. lactic dehydrogenase |
C. amylase
Rationale: Pancreatitis is the most common reason for marked elevations in serum amylase.
The serum amylase begins to increase 3 to 6 hours following onset of acute pancreatitis.
The amylase level peaks in 20 to 30 hours and returns to normal in 2 to 3 days.
(ATI book, chapter 54) |
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A nurse is caring for a client who is diagnosed with fulminant hepatic failure. Which of the following procedures should the nurse expect the client to be prepared for?
A. portacaval anastomosis B. right liver lobectomy C. liver failure D. transjugular intrahepatic portosystemic shunt |
C. liver failure
Rationale: Fulminant hepatic failure, most often caused by viral hepatitis, is characterized by the development of hepatic encephalopathy within weeks of the onset of disease a client without prior evidence of hepatic dysfunction.
Mortality remains high, even with treatment modalities such as blood or plasma exchanges, charcoal hemoerfusion, and corticosteroids.
Consequently, liver transplantation has become the treatment of choice for these clients.
(ATI book, chapter 55) |
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A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Which of the following should the nurse monitor prior to the procedure?
A. prothrombin time (PT) B. serum albumin C. aspartate aminotransferase (AST) D. hemoglobin and hematocrit (H&H) |
A. prothrombin time (PT)
Rationale: The major complication following a liver biopsy is hemorrhage. |
