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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Protamine is used to reverse the effects of heparin, not warfarin.
B. Vitamin K is the antidote for warfarin overdose, as it promotes the synthesis of clotting factors that are inhibited by warfarin.
C. Atropine is used to treat bradycardia and other conditions, but it is not used to reverse the effects of warfarin.
D. Epinephrine is used to treat severe allergic reactions (anaphylaxis) and cardiac arrest, but it is not used to reverse the effects of warfarin.
Correct Answer is B
Explanation
A. Using a dosimeter to measure radiation levels may be necessary in certain situations, but it is not the first step in determining what type of PPE to use.
B. Choosing the highest level of protection equipment available is important in minimizing the chances of the provider contacting the disease.
C. Waiting before delivering care might lead to loss of valuable time.
D. Decontaminating victims before intervening is not the nurse's responsibility. The focus should be on protecting oneself and providing care to those who need it.
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