A nurse is caring for a client who has cancer and is receiving total parenteral nutrition (TPN). Which of the following lab values indicates the treatment is effective?

Albumin 4.2 g/dL

Calcium 9.4 mg/dL

Hct 43%

WBC 8,000/uL

Answer and Explanation

The Correct Answer is A

A.   Albumin is a protein that is produced by the liver and is a good indicator of nutritional status. TPN is intended to provide adequate nutrition to the patient, so an increase in albumin levels would indicate that the treatment is effective.
B.   Calcium levels are not directly related to the effectiveness of TPN. Calcium levels can be affected by a variety of factors and are not a specific marker for the effectiveness of TPN.
C.   Hematocrit (Hct) measures the percentage of red blood cells in the blood. It is not directly related to the effectiveness of TPN.
D.   White blood cell count (WBC) is a marker of immune function and is not directly related to the effectiveness of TPN.

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Correct Answer is D

Explanation

A. Clients with bulimia nervosa may have a normal or above-normal body weight, as bulimia nervosa is characterized by episodes of binge eating followed by compensatory behaviors such as vomiting or excessive exercise.
B. Amenorrhea, or the absence of menstruation, is more commonly associated with anorexia nervosa rather than bulimia nervosa.
C. Hyperkalemia, or high levels of potassium in the blood, is not a common finding in clients with bulimia nervosa.
D. Frequent self-induced vomiting can lead to dental erosion and decay due to exposure of the teeth to stomach acid.

A. "I don't eat because I do not like the taste of food." B. "I have certain foods, like pizza, that cause me a lot of fear." C. "I restrict myself to 2,000 calories per day." D. "I don't bother to track the number of calories I eat in a week."

Correct Answer is B

Explanation

A. This statement does not align with the typical behavior of a person with anorexia nervosa. People with anorexia nervosa often have a distorted body image and may fear gaining weight, but they do not typically avoid eating because they do not like the taste of food.
B. This statement is consistent with the behavior of a person with anorexia nervosa. People with this disorder often have specific foods that they fear or avoid because they associate them with gaining weight or losing control over their eating.
C. This statement may be true for some people with anorexia nervosa, but it is not a defining characteristic of the disorder. People with anorexia nervosa often restrict their food intake to a much lower level than 2,000 calories per day.
D. This statement does not align with the typical behavior of a person with anorexia nervosa. People with anorexia nervosa often obsessively track their calorie intake and may keep meticulous records of what they eat.

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A nurse is caring for a client who has cancer and is receiving total parenteral nutrition (TPN). Which of the following lab values indicates the treatment is effective?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is admitting a client who has anorexia nervosa. Which of the following statements should the nurse expect from this client?

Correct Answer is B

Explanation

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