SITUATION 15

Rex, a tricycle driver, appears jaundiced for the past two weeks and is now admitted to San Juan Ward.

71. The physician ordered a liver function test that measures the total serum bilirum in the blood and indicates the intensity and progress of jaundice, which is:
A. Serum cholesterol
B. Bilirubin test
C. Quantitative van de bergh
D. Icterus index

72. The following are causes of pre-hepatic jaundice, except:
A. Liver congestion
B. Defective albumin bonding
C. Severe burns
D. Excessive hemolysis due to transfusion

73. The basis of your assessment whether Rex is suffering from post hepatic jaundice is:
A. Increased level of unconjugated bilirubin if liver cell function is diminished
B. Liver function test which is usually normal
C. Brown of foamy urine
D. Clay-colored stools

74. Rex prefers to stay in bed due to fatigue. Your nursing intervention is:
A. Discuss the advantages of maintaining mobility
B. Provide a quit environment for him
C. Allow him to stay in bed
D. Tell him to call you if he wants to be rehabilitated

75. While preparing him for discharge, you have to instruct him what food to avoid and this is:
A. Caffeine and fats
B. Protein and fats
C. Fats and carbohydrates
D. Caffeine and protein