Florencio Dennis D. Briones Jr.

Rationale

29. The answer is C) serum amylase and lipase (According to Lewis page 1063). The
primary diagnostic test for acute pancreatitis are serum amylase and lipase. The serum
amylase level is usually elevated early and remains elevated for 24-72 hours while
serum lipase level is also elevated in acute pancreatitis and is an important test
because the other disorder may increase serum amylase levels.
A. Serum creatinine and BUN are for kidney function
B. ALT and AST are for liver function
D. Cardiac enzymes are used for assessing the heart
39. The answer is D) toxic megacolon is an acute form of colonic distension. It is
characterized by a very dilated colon, abdominal distension, sometimes fever, shock. It
is a complication of IBS, such as ulcerative colitis, crohns disease and some infection
of the colon (Lewis page 1000).
A. Gallstones is a small, hard crystalline mass formed abnormally in gallbladder
B. Hydronephresis is literally water inside the kidney and dilation of renal pelvise
calyces
C. Nephrolithiasis is stones in the kidney
49. The answer is A) bloody diarrhea because it can affect the patient (malaise, fever,
anorexia, weight loss, anemia, tachycardia, and dehydration with a patient with
ulcerative colitis) Lewis page 1000]
B. Hypotension low blood pressure that causes an inadequate flow of blood to
the body
C. Hemoglobin of 12 is within the normal range
D. Rebound tenderness is commonly used to identify and appendicitis
59. The answer is B because the nurse is following the role of patient confidentiality
A. The nurse is not using therapeutic communication
C. The nurse is not using therapeutic communication
D. The nurse is not following the rule of patient confidentiality
69. The answer is C because it is the most common cause of hypothy, a condition which
your immune system attacks your thyroid, a chronic autoimmune disease which thyroid
tissue is replaced by lymphocytes and fibrous tissue (Lewis page 1234)
A. Goiter the thyroid cell is stimulated to grow overactive (hyper) and
underactive (hypo)
B. Graves disease is a common cause of hyperthyroidism
D. Myxedema can occur if it is hyper or hypothyroidism
79. The answer is D because this is done after the procedure
A. This is instructed before the surgery (Page 1239)
B. This is instructed before the surgery to minimize stress on suture line (Page
1239)
C. This is instructed before the surgery to minimize stress on suture line (Page
1239)
89. The answer is B the classic symptoms are polyuria, polydipsia, polyphagia (Page
1193)
A. Irritability is not because of DM
C. Nocturia is not because of DM, common cause of UTI
D. Diaphoresis is not because of DM 1
99. A is the answer because going out barefoot might harm, injure or puncture the feet
B. This should be avoided but this can give minimal protection
C. It should be avoided
D. This is a preventive measure
9. C is the answer to know if ascites is getting worse or not
A. This is independent but weighing patient is important
B. It is a collaborative intervention
D. It is a collaborative intervention
9. C is the answer because post renal is an obstruction in the UT below the kidneys
causes waste to build up in the kidneys (page 1137 table 47-2)
A. This occurs when a sudden reduction in blood flow to the kidney
B. This occurs when direct damage to the kidneys causes a loss of kidney
function
29. A is the answer because it is typically associated with bilateral high frequency
sensoneural loss and tinnitus. This is caused by the drugs used in treating renal
problem.
B. Discomfort of pain to the eyes due to light exposure
C. Burning or prickling sensation
D. Difficulty in swallowing
39. C is the answer because in this position its maintaining blood flow to the brain
A. Rectal examination
B. Promote oxygenation for chest expansion
D. Flat with chest down
49. A is the answer because its caused with high uric acid levels (page 1620)
B. Joint disease
C. Chronic systemic autoimmune disease by inflammation of connective tissue
D. Softening of bones
59. B is the answer because a chemical reaction at the site where an injury of other
tissue activation of inflammatory response
A. Sends information about pain and fever
C. Covalently connect to proteins in order to form proteoglycans
D. Inhibition of protein synthesis
69. True because eating too much salt may cause too much calcium to stay in the urine.
79. D is the answer because all the criteria is valid
A. cough, chest pain, DOB, decreased o2 sat, pleural effusion
B. Fever, chills and sweat, SOB, Nasal congestion
C. Productive cough, fever, flu, sneezing
89. B because there is a normal flow in digestive system
A. BP is not relatable to a normal diet
C. Not relatable to normal diet
D. There is a complication it means there is a problem
99. A is the answer because its repairing and removing the cause
B. Determine/confirm diagnosis
C. Not relatable
D. Enhance personal appearance
109. D is the answer because all the criteria are valid
A.
B. This should be done before the operation starts
C.
19. B is the answer because he experienced a bit of mentally slow and poor short term
recall
A. There is no connection
C. At night body produces less urine that is more concentrated
D. Its irreversible
9. C is the answer (page 1541) involves injection at radioisotopes that is taken up by the
bone. A uniform uptake of the isotope is normal
A. Uses very small dose of ionizing radiation to produce pictures of bone
B. Used to examine a persons digestive tract
D. Medical imaging to evaluate condition of joints
19. D is the answer because it contains high purines
A.
B. There is no food high in purines
C.
29. D is the answer because the criteria are accepted and are valid
A. Correct but theres a better answer
B. Abdominal surgery cant contribute to osteomyelitis
 C. Abdominal surgery cant contribute to osteomyelitis
39. B is the answer because tearing of ligaments with severe pain
A. Stretching of ligament with minimal pain
C. Stretching of muscle or tendon with minimal pain
D. Tearing of muscle or tendon with severe pain
49. A is the answer because rest is the management of osteoporosis
B. Osteoarthritis
C. Not applicable
D. Not applicable
59. D because the criteria is valid
A.
B. All correct but theres a better answer
C.
69. C is the answer because its under a non smoker
A.
B. Other type of respiratory cancer
C.
79. D because its hard to notice until late symptoms occur
A.
B.
C.
89. C because it can prevent infection
A.
B. Not a post-operative intervention
C.
99. B because its prescribed and must be round the clock
A, B and C. Wrong intervention