A client was started on total parenteral nutrition (TPN) ten days ago. The nurse recognizes that the expected effect of TPN is a:

serum white blood cell count of 16,000/mm3.

pre-albumin level less than 10 mg/dl

maintenance of baseline weight or gain of up to 1 kg/day.

negative nitrogen balance.

Answer and Explanation

The Correct Answer is C

C. The expected effect of TPN is to maintain or promote weight gain in clients who are unable to meet their nutritional needs orally. TPN provides essential nutrients directly into the bloodstream, allowing for adequate caloric intake to support energy needs and promote tissue repair and growth.
A. A serum white blood cell count of 16,000/mm3 indicates leukocytosis, which may suggest infection or inflammation rather than a direct effect of TPN.
B. Pre-albumin is a marker of nutritional status, and levels below 10 mg/dl typically indicate malnutrition rather than a positive response to TPN.
D. Negative nitrogen balance occurs when the body loses more nitrogen than it gains, typically due to inadequate protein intake or increased protein breakdown. TPN provides amino acids, which are the building blocks of protein, and aims to promote a positive nitrogen balance to support tissue repair and growth.

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Correct Answer is B

Explanation

B. Bowel sounds are typically present and indicate normal gastrointestinal motility. A change from normoactive (normal) to absent bowel sounds can indicate bowel obstruction, perforation, or peritonitis, which are serious complications of diverticulitis. This change warrants immediate reporting to the physician as it may indicate a worsening condition requiring urgent intervention.
A. A temperature of 101.2°F (38.4°C) is slightly elevated and may indicate the presence of infection, which is concerning in the context of diverticulitis. Fever is a common symptom of diverticulitis, but an elevated temperature may also suggest worsening infection or the development of complications such as abscess formation or perforation.
C. Left lower quadrant discomfort is a common symptom of diverticulitis due to inflammation in the sigmoid colon, where diverticula are most prevalent. While discomfort is expected in diverticulitis, the severity and persistence of pain should be assessed.
D. An elevated white blood cell (WBC) count is indicative of inflammation or infection and is commonly seen in diverticulitis. However, the significance of the elevation depends on the degree of increase and the presence of other clinical findings.

A. Walking for 30 minutes daily B. High energy bursts of exercise throughout the day C. Lifting weights three times a week D. Three sets of push-ups every morning followed by three set of abdominal thrusts

Correct Answer is A

Explanation

A. Walking is a low-impact aerobic exercise that can be beneficial for individuals preparing for bariatric surgery. It helps improve cardiovascular health, burn calories, and increase overall physical activity levels. Walking for 30 minutes daily is a reasonable and achievable goal for many individuals, including those preparing for bariatric surgery. It can also help with weight loss and improve overall fitness levels.
B. While HIIT can be effective for improving cardiovascular fitness and burning calories, it may not be suitable for all individuals preparing for bariatric surgery. HIIT can be challenging for individuals who are overweight or have limited mobility, and it may increase the risk of injury if not performed safely.
C. Strength training, including lifting weights helps build muscle mass, improve metabolism, and enhance overall strength and fitness. However, it's essential to ensure that weightlifting exercises are performed safely and under proper supervision.
D. While push-ups and abdominal thrusts are strength-training exercises that can help build muscle strength and improve core stability, this regimen may be too intense or challenging for many individuals preparing for bariatric surgery.

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A client was started on total parenteral nutrition (TPN) ten days ago. The nurse recognizes that the expected effect of TPN is a:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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