Question
A 56-year-old man is admitted to the hospital because of a 1-week history of progressive nausea, anorexia dyspnea, and lethargy. He has a 15-year history of type 2 diabetes mellitus and hypertension. His respirations are 28/min, and blood pressure is 175/98 mm Hg. Physical examination shows jugular venous distension and pedal edema. Bilateral crackles are heard on auscultation of the chest. His serum creatinine concentration is 7.2 mg/dL. Which of the following is most likely to be decreased in serum in this patient? a) Alkaline phosphatase b) 1,25-dihydroxycholelciferol c) Parathyroid hormone d) Phosphorus e) Potassium f) Uric acid
SAVE
AI-Generated Solution
info
AI-generated content may present inaccurate or offensive content that does not represent bartleby’s views.
Unlock instant AI solutions
Tap the button
to generate a solution
to generate a solution
Click the button to generate
a solution
a solution
Knowledge Booster
Similar questions
- James Dunn is a 40-year-old African American man. He presents to the physician’s office today complaining of headache. His vital signs during triage are as follows: blood pressure 165/90 mm Hg, heart rate 80 beats/minute, temperature 98.5F, weight 125 kg (275 lb), and height 5 ft 11 in. He currently has no other diagnosed medical conditions. The physician gives Mr. Dunn a prescription for lisinopril/hydrochlorothiazide (Prinzide) 10/12.5 mg with directions to take one tablet by mouth daily in the morning. (Learning Objectives 1, 3, 4, 8) 1. In which stage of hypertension would you place Mr. Dunn? 2. What lifestyle modifications should Mr. Dunn be encouraged to follow? 3. What class of antihypertensive is lisinopril/hydrochlorothiazide? 4. What would you tell Mr. Dunn about his new medication?arrow_forwardPatient A: Has Diabetes insipidus. They have polyuria and dilute urine. They present with some signs of sever dehydration including increased thirst, rapid respirations and rapid heart rate. Their blood pressure is low Patient B: Has Diabetes mellitus type 1. They are not taking medication for it. They are confused and lethargic. They are breathing heavy and fast and the breath has a fruity odor. They have polyuria and increased thirst. 4: For Patient A, the doctor orders a Head CT scan. She does not order this for Patient B. What would the doctor be looking for in the CT scan, and whywould this not be ordered for patient B?arrow_forwardFor any case that has been studied of any child with bronchitis, you can write a case of just as an example. The important thing is to fill the report with what makes sense.arrow_forward
- please tell me how and why? please do not write in script . for each answer tell me how and why and for the wrong answer tell me why is that not the answrarrow_forwardA 54-year-old male patient presents to the emergency department with chest pain that started 2 hours ago. He describes the pain as a pressure sensation in the center of his chest, radiating to his left arm. The patient has a history of hypertension and type 2 diabetes. His vital signs on admission are as follows: blood pressure 150/90 mmHg, heart rate 98 bpm, respiratory rate 20 breaths/min, and oxygen saturation 96% on room air. An electrocardiogram (ECG) shows ST-segment elevation in leads II, III, and aVF. Based on this information, what is the most appropriate initial nursing action? A) Prepare the patient for an immediate coronary angiography. B) Administer sublingual nitroglycerin and aspirin as ordered. C) Start an intravenous insulin infusion. D) Provide supplemental oxygen and initiate continuous ECG monitoring.arrow_forwardtein X Case Studies.docx X + rl=https://wheatland.orbundsis.com/einstein-freshair/Videos/0216D9403D0ED43358766A676D8A4817/Case+Stuc TCentral | NBA... a Amazon.com: Onlin... (6) The Reason Why... Isaiah Blames Zora... Beyond The Lights... Case Study, Chapter 26, The Digestive System Mr. McArthur is hospitalized with pancreatitis and cholecystitis. Neither his gallbladdernor his pancreas are functioning normally at this time. The client is placed on a NPO (nothing by mouth) diet order, given intravenous fluids and pain medication. The nurse is aware that the pancreas has two functions: one being endocrine, secretion of hormones to assist with glucose control and the other being exocrine, aiding the digestive system. Mr. McArthur is scheduled for gallbladder removal in the morning to treat the cholecystitis. (Learning Objective 4) 1. The client asks what his gallbladder does. What is the nurse's best response? 2. The client also asks how the pancreas works to help with digestion. What…arrow_forward
- A 6 month-old male infant is admitted to the hospital with diagnosis of recurrent pneumonia. His vital signs on admission: respiratory rate = 50 /min; heart rate = 170 beats/min; temperature – 102˚ F. Substernal retractions are prominent. Lung auscultation: bilateral wheezes and rhonchi. Medical history: this is a third admission since birth for pneumonia. His mother also states that he hasn’t gain body weight like her older child had at 6 months of age. How is this case consistent with cystic fibrosis diagnosis? What tests could be ordered to confirm the diagnosis? What interventions could help to alleviate respiratory distress?arrow_forwardWhat condition does this patient likely have?arrow_forwardA patient tells the nurse she is having pain in her rightlower leg. How does the nurse assess for the presence ofthrombophlebitis?a. By palpating the skin over the tibia and fibulab. By documenting daily calf circumference measurementsc. By recording vital signs obtained four times a dayd. By noting difficulty with ambulationarrow_forward
- Pt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Base on this information please do the concept map in the imagearrow_forward47. A 56-year-old man is admitted to the hospital because of a 1-week history of progressive nausea, anorexia, dyspnea, and lethargy. He has a 15-year history of type 2 diabetes mellitus and hypertension. His respirations are 28/min, and blood pressure is 178/98 mm Hg. Physical examination shows jugular venous distention and pedal edema. Bilateral crackles are heard on auscultation of the chest. His serum creatinine concentration is 7.2 mg/dL. Which of the following is most likely to be decreased in serum in this patient? A) Alkaline phosphatase B) 1,25-Dihydroxycholecalciferol C) Parathyroid hormone D) Phosphorus E) Potassium F) Uric acidarrow_forwardA 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 What does the AST/ALT ratio indicate for this patient What if your AST/ALT ratio were >1. What would that suggest?arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios