A nurse is caring for a client who is receiving parenteral nutrition and has a new prescription for probiotic therapy. Which of the following findings indicates that the therapy is effective?

Client reports ability to complete ADLs.

Client's mucous membranes are pink.

Client's blood glucose level is within the expected reference range.

Client has soft, formed bowel movements.

Answer and Explanation

The Correct Answer is D

Choice A reason: Reporting ability to complete ADLs is not a specific finding that indicates that probiotic therapy is effective. Ability to complete ADLs depends on various factors, such as energy level, muscle strength, mobility, cognition, and motivation. Ability to complete ADLs may improve with parenteral nutrition, but not necessarily with probiotic therapy.

Choice B reason: Having pink mucous membranes is not a specific finding that indicates that probiotic therapy is effective. Pink mucous membranes reflect adequate hydration and oxygenation status, which are important for overall health, but not directly related to probiotic therapy.

Choice C reason: Having blood glucose level within the expected reference range is not a specific finding that indicates that probiotic therapy is effective. Blood glucose level is influenced by carbohydrate intake, insulin production, and medication use, which are related to parenteral nutrition, but not probiotic therapy.

Choice D reason: Having soft, formed bowel movements is a specific finding that indicates that probiotic therapy is effective. Probiotic therapy is the use of beneficial bacteria or yeast to restore the normal flora and function of the gastrointestinal tract, which can prevent or treat diarrhea, constipation, or infection. Having soft, formed bowel movements shows that the client has a healthy and balanced gut microbiome.

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Correct Answer is ["58"]

Explanation

Step 1: Convert the weight from kilograms to pounds. 70 kg × 2.2 lbs/kg = 154 lbs Result at each step = 154 lbs

Step 2: Convert the height from meters to inches. 1.1 m × 39.37 inches/m = 43.307 inches Result at each step = 43.307 inches

Step 3: Convert the height from inches to feet. 43.307 inches ÷ 12 inches/foot = 3.609 feet Result at each step = 3.609 feet

Step 4: Calculate the BMI using the formula: BMI = weight (lbs) ÷ (height (inches))^2 × 703 BMI = 154 lbs ÷ (43.307 inches)^2 × 703 Result at each step = 154 lbs ÷ 1874.48 × 703 Result at each step = 0.0821 × 703 Result at each step = 57.7

Step 5: Round the BMI to the nearest whole number. Result at each step = 58

The client’s Body Mass Index (BMI) is 58.

A. Potassium 3.5 mEq/L B. Sodium 145 mEq/L C. Hematocrit 53% D. HbA1c 5%

Correct Answer is C

Explanation

Choice A reason: Potassium 3.5 mEq/L is not a finding that indicates fluid volume deficit because it is within the normal range, which is 3.5 to 5.0 mEq/L. Potassium is an electrolyte that regulates nerve and muscle function, acid-base balance, and fluid balance. Potassium level can be affected by various factors, such as diet, medication, kidney function, and dehydration.

Choice B reason: Sodium 145 mEq/L is not a finding that indicates fluid volume deficit because it is within the normal range, which is 136 to 145 mEq/L. Sodium is an electrolyte that regulates blood pressure, blood volume, and fluid balance. Sodium level can be affected by various factors, such as diet, medication, kidney function, and fluid loss.

Choice C reason: Hematocrit 53% is a finding that indicates fluid volume deficit because it is above the normal range, which is 38 to 50% for men and 34 to 46% for women. Hematocrit is the percentage of red blood cells in the total blood volume. Hematocrit level can increase due to dehydration, which causes hemoconcentration or increased blood viscosity.

Choice D reason: HbA1c 5% is not a finding that indicates fluid volume deficit because it is within the normal range, which is less than 5.7%. HbA1c is the percentage of hemoglobin that is attached to glucose. HbA1c level reflects the average blood glucose level over the past two to three months. HbA1c level can be affected by various factors, such as diabetes, anemia, and medication.

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A nurse is caring for a client who is receiving parenteral nutrition and has a new prescription for probiotic therapy. Which of the following findings indicates that the therapy is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse measures a client's weight as 70 kg and height as 1.1 m. What is the client's body mass index? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["58"]

Explanation

A nurse is evaluating the laboratory findings of a client who has wound dehiscence following abdominal surgery. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

Correct Answer is C

Explanation

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