A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following laboratory results indicates a possible complication of this therapy?

Serum calcium 12.5 mg/dL

BUN 16 mg/dL

Serum potassium 4.6 mEq/L

WBC count 8,000/mm³

Answer and Explanation

The Correct Answer is A

A nurse caring for a client who is receiving total parenteral nutrition should identify that a serum calcium level of 12.5 mg/dL indicates a possible complication of this therapy. Total parenteral nutrition can result in electrolyte imbalances, including hypercalcemia (high levels of calcium in the blood).

The other laboratory results are within normal ranges and do not indicate a complication of total parenteral nutrition.

b) A BUN level of 16 mg/dL is within the normal range.

c) A serum potassium level of 4.6 mEq/L is within the normal range.

d) A WBC count of 8,000/mm³ is within the normal range.

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Correct Answer is A

Explanation

The nurse should administer bronchodilators first for severe wheezing. Bronchodilators work by relaxing the muscles in the airways, which helps to open them up and make it easier to breathe.

Option b is incorrect because beta blockers are not typically used to treat asthma and can actually worsen symptoms in some clients.

Option c is incorrect because inhaled steroids are used to reduce inﬂammation in the airways over time and are not typically used for immediate relief of severe wheezing.

Option d is incorrect because anti-inﬂammatory agents are used to reduce inﬂammation in the airways over time and are not typically used for immediate relief of severe wheezing.

A. Administer scheduled pain medications B. Provide oral care every 6 hours. C. c) Administer liquids using a syringe. D. Whisper when talking to family members.

Correct Answer is A

Explanation

The nurse should administer scheduled pain medications to a client who is near death. This is an important nursing intervention to ensure that the client is comfortable and free from pain.

b) Providing oral care every 6 hours is important, but it may not be the highest priority for a client who is near death.

c) Administering liquids using a syringe may not be necessary or appropriate for a client who is near death.

d) Whispering when talking to family members is not necessary. The nurse should communicate openly and honestly with the family members.

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A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following laboratory results indicates a possible complication of this therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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