1. A nurse is reviewing the laboratory data of a client who has acute pancreatitis.The nurse should

expect to find an elevation of which of following values?

Amylase

Explanation

Amylase is an enzyme that changes complex sugars into simple sugars that can be used by the

body. It is produced by the pancreas and salivary glands and releasedinto the mouth, stomach, and

intestines to aid in digestion. The amylase level of aclient who has acute pancreatitis usually

increases within 12 to 24 hr and can remain elevated for 2 to 3 days.

2. A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis.

Which of the following findings in the client's history should thenurse recognize as consistent with

a diagnosis of endometriosis?

Dysmenorrhea that is unresponsive to NSAIDs.

Explanation

Endometriosis is a condition in which the type of tissue that lines the uterus implants in

locations outside the uterus. This typically causes pelvic pain aroundthe time of the menstrual

period but can cause pain at other times in the cycle.The discomfort is often unrelieved by the

use of NSAIDs.

3. A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in

paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and

increasingly resistant to rehabilitative efforts by the staff.Which of the following actions should

the nurse take?

Establish a plan of care with the client that sets attainable goals.

Explanation

The nurse should develop a plan of care for this client with mutually set goals. This action invests

the client in the rehabilitation process, which encourages feelings ofownership for it, and sees the

goals as more attainable