Which serum test would a physician order if jaundice was ...

[Lobcity]

Which serum test would a physician order if jaundice was suspected?
 
  a. Cardiac enzymes
  b. Liver enzymes
  c. Total bilirubin
  d. Complete blood count

Question 2

An investigation into reports of substandard care on the subacute geriatric unit of a hospital has been undertaken. Which of the following events are representative of malpractice on the part of the nursing staff? Select all that apply.
 
  A) A client with a documented history of seizures was left with his bed raised and with bedrails not in place, resulting in a fall and head injury.
  B) A client was sent for a colonoscopy, after which it was learned that the client had never given written consent for the procedure.
  C) A client with a diagnosis of vascular dementia was found wandering in the hall outside the unit.
  D) An immobile client was not turned over the course of a night shift and developed a pressure ulcer on her coccyx.
  E) A client admitted with a diagnosis of pneumonia contracted an antibiotic-resistant organism during her stay.

[kmb352]

Answer to Question 1

C
Jaundice is the discoloration of body tissues caused by abnormally high blood levels of bilirubin. This yellow discoloration is recognized when the total serum bilirubin exceeds 2.5 mg/dL.

Answer to Question 2

A, D
Feedback:
Answers A and D include all of the components of malpractice: duty, negligence, and injury. Answer B involves an abdication of duty on the part of the physician, not the nurse, while answer C lacks a resultant injury. Answer E does not necessarily suggest negligence on the part of care providers.

[Lobcity]

Wow, this really help

[jackie]

Thanks for the timely response, appreciate it