Nokea
The tumor marker that is elevated in patients with pancreatic cancer is
Correct Answer: CA19-9
Rationale: The tumor marker CA19-9 is elevated in the presence of pancreatic cancer.
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Viral hepatitis may be treated at home. Which should be taught to the patient's family?
- A. Clothes should be laundered separately with hot water.
- B. Personal items and drinking glasses should not be shared.
- C. Articles soiled with feces do not require extra care.
- D. Hands need to be thoroughly washed after toileting.
- E. Contaminated items may be disposed of with regular trash.
Correct Answer: A,B,D
Rationale: For the patient with viral hepatitis being cared for in the home, the family needs to be taught necessary precautions. Clothes should be laundered separately with hot water. Personal items used by the patient should not be shared. Articles soiled with feces must be disinfected. Any contaminated items should be disposed of properly.
The patient with cirrhosis has an albumin of 2.8 g/dL. The nurse is aware that normal is 3.5 to 5 g/dL. Based on these findings, which would the nurse expect the patient to exhibit?
- A. Jaundice
- B. Edema
- C. Copious urine output
- D. Pallor
Correct Answer: B
Rationale: Low serum albumin levels result also from excessive loss of albumin into urine or into third-space volumes, causing ascites or edema.
Which is the most appropriate method used by high-risk health workers to prevent hepatitis B?
- A. Hepatitis B vaccine
- B. Diligent hand washing
- C. Wearing protective gear
- D. Hb immune globulin injections
Correct Answer: A
Rationale: The best preventive measure against the contraction of hepatitis B is HBV vaccine.
Which will the nurse point out as a significant advantage of the laparoscopic cholecystectomy?
- A. Slightly more invasive, but there is less pain
- B. Can be performed on all patients of any age
- C. Can be performed even when there are large stones present in the bile duct
- D. Less invasive procedure
Correct Answer: D
Rationale: The laparoscopic cholecystectomy is less invasive and causes less pain and a quick recovery. If there are large stones present, a sphincterotomy is done before the laparoscopic cholecystectomy. Persons with bleeding tendencies, pathologic conditions of the abdomen, stones in the bile duct, and extensive adhesions are not good candidates.
Which is a by-product of protein metabolism?
- A. Urine
- B. Protease
- C. Amylase
- D. Ammonia
Correct Answer: D
Rationale: Protein products enter the bloodstream and are changed in the bowel to ammonia; the products then pass through the portal vein to the liver where the ammonia is converted to urea, which is then excreted by the kidneys.