dvanced Pathophysiology Practice Questions / End / GI / Liver

dvanced Pathophysiology Practice Questions / End / GI / Liver A client complains of fatigue and arthralgia to the nurse. On physical assessment, the nurse finds that the client has hyperpigmentation of the skin. Which lab test should the nurse suggest for safe and effective care of the client? 1. Bilirubin levels 2. Serum ferritin levels 3. Ceruloplasmin levels 4. Immunoglobulins level - correct answersANS: 2. Serum ferritin levels Page: 720 1. Bilirubin levels are important in clients with hepatitis and other liver diseases. These levels do not have any role in hematochromatosis. 2. Signs and symptoms such as fatigue, arthralgia, and hyperpigmentation of the skin are due to iron overload in clients with hematochromatosis. Clients with hematochromatosis have high iron, serum ferritin, and transferrin levels. So, serum ferritin levels are important to confirm the diagnosis. 3. Low ceruloplasmin levels are seen in clients with Wilson disease. Therefore, the ceruloplasmin test plays an important role in the diagnosis of Wilson disease. 4. High immunoglobulins are seen in clients with biliary cirrhosis. Therefore, the immunoglobulins test does not have any significance in hematochromatosis. A client is admitted into the emergency room with vomiting blood, dark urine, and black, tarry feces. On examination, the nurse finds that the client has weight loss and a distended abdomen. Which condition does the nurse expect in the client? 1. Hiatal hernia 2. Acute gastritis 3. Pyloric stenosis 4. Esophageal varices - correct answersANS: 4. Esophageal varices Page: 656 1. Hiatal hernia is described as part of the stomach protruding into the thoracic cavity through an opening in the diaphragm. The symptoms associated with this condition include dysphagia, substernal burning, and belching. 2. Acute gastritis is also called erosive gastritis. It is an inflammation of the stomach