A client is admitted with protein-calorie malnutrition and is receiving supplemental feedings through a naso-duodenal tube. Which assessment finding indicates that the client's nutritional status is improving?

Urine output 200 mL over the last 4 hours.

Decreasing serum albumin levels.

Weight gain of 0.75 kg in the last 2 days.

Sodium (Na) level 128 mEq/L.

Answer and Explanation

The Correct Answer is C

Weight gain is a positive indicator of improved nutritional status. It suggests that the client is receiving adequate nutrition and their body is able to build up and retain weight. This is particularly important in the case of protein-calorie malnutrition, as it indicates that the client is receiving sufficient protein and calories to support their nutritional needs.

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Correct Answer is A

Explanation

Antacids work by raising the pH level in the stomach, which means they make the stomach less acidic. This helps to reduce the symptoms of heartburn associated with gastroesophageal reflux disease (GERD). By increasing the pH, antacids help to neutralize the excess stomach acid that can cause irritation of the esophagus and lead to heartburn. However, it's important to note that antacids provide temporary relief and do not treat the underlying cause of GERD.

A. Notify the healthcare provider that the client's pain is not well-managed B. Reassure the client that the pain and stress of the fracture will soon get better. C. Order a chest CT Computerized Tomography) to rule out a pulmonary embolus (PE). D. Notify the healthcare provider that the client may have a fat embolism

Correct Answer is D

Explanation

Fat embolism syndrome can occur when fat globules enter the bloodstream after a long bone fracture, such as a femur fracture. The fat globules can travel to the lungs and cause respiratory distress and decreased oxygen saturation. The symptoms observed in the client, including tachypnea (labored breathing), decreased oxygen saturation (88%), and the presence of petechiae (small red or purple spots) on the neck and anterior chest, are consistent with fat embolism syndrome.

Fat embolism syndrome is a serious condition that requires immediate medical attention. Notifying the healthcare provider allows for prompt evaluation, confirmation of the diagnosis, and initiation of appropriate treatment. This may involve further diagnostic tests such as a chest CT scan, as mentioned in one of the options, to rule out other potential causes or complications.

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A client is admitted with protein-calorie malnutrition and is receiving supplemental feedings through a naso-duodenal tube. Which assessment finding indicates that the client's nutritional status is improving?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Antacids will help reduce the heart burn symptoms associated with gastro-esophageal reflux by ...

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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