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 ["A","B","C","E"]
Explanation
A. A weakened gag reflex is a common complication of cervical spinal cord injuries and can lead to difficulty swallowing and increased risk of aspiration.
B. Hyperthermia can occur due to autonomic dysreflexia, a common complication of cervical spinal cord injuries.
C. Absence of bowel sounds can indicate a paralytic ileus, a common complication of cervical spinal cord injuries.
D. Polyuria is not a common complication of cervical spinal cord injuries. It may occur due to other factors, such as diabetes insipidus, but it is not directly related to the injury itself.
E. Hypotension can occur due to autonomic dysreflexia, a common complication of cervical spinal cord injuries.
Correct Answer is B
Explanation
A. Aphasia, or difficulty with language comprehension and expression, is more commonly associated with left hemisphere strokes.
B. Inability to recognize family members is a possible manifestation of right hemisphere stroke, particularly if the stroke affects the right parietal lobe. This condition is called prosopagnosia.
C. Right hemiparesis, or weakness on the right side of the body, is a possible manifestation of left hemisphere stroke, not right hemisphere stroke.
D. Difficulty reading is more commonly associated with left hemisphere strokes, which affect language centers involved in reading.
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