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Questions 227

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Extract:

On the patient with pancreatitis


Question 1 of 5

On the patient with pancreatitis, which of the following is decreased in level?

Correct Answer: A

Rationale: Urine amylase is not typically decreased in pancreatitis; however, among the options, it's the most relevant as serum amylase is elevated, not urine.

Extract:


Question 2 of 5

The primary physiological alteration in the development of asthma is:

Correct Answer: D

Rationale: Asthma is primarily driven by bronchiolar smooth muscle spasm, causing airway narrowing and obstruction. Inflammation and mucus hypersecretion are secondary contributors.

Extract:

Jane is a 30-year-old white female who presents to the neurology clinic with 2-year-history of progressive visual disturbance, emotional lability, impaired coordination, extremity weakness and aching, and dizziness. She says that she notices the symptoms more on very warm days and just after going to the gym.


Question 3 of 5

Given Jane's history, the most likely diagnosis is:

Correct Answer: A

Rationale: Progressive symptoms exacerbated by heat and exercise are characteristic of multiple sclerosis.

Extract:


Question 4 of 5

A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?

Correct Answer: B

Rationale: Heparin in DIC halts excessive clotting, preserving fibrinogen by preventing its conversion to fibrin. Increased fibrinogen indicates effective therapy. Other options are secondary or less specific indicators. Physiological Adaptation

Question 5 of 5

While assessing a client with AIDS, the nurse notes a reddish-purple discoloration on the client's eyelid. This finding is most consistent with:

Correct Answer: D

Rationale: Kaposi's sarcoma, common in AIDS, presents as reddish-purple lesions, including on the eyelid. Other conditions affect the retina or eyelid structure differently.

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