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 D

Explanation

The priority data for the nurse to collect following an amniotomy is the fetal heart rate. This is an important nursing intervention to assess fetal well-being and identify any potential complications.

a) Assessing the color of the amniotic ﬂuid is important, but it is not the highest priority.

b) Monitoring the client's temperature is important, but it is not the highest priority.

c) Assessing the frequency of contractions is important, but it is not the highest priority.

A. Elevates the client's legs before applying the stockings B. Instructs the client to dorsiﬂex their feet while applying the stockings C. Massages the client's legs before applying the stockings D. Folds the top of the stockings over after applying them

Correct Answer is A

Explanation

The action by the AP that indicates an understanding of the procedure is elevating the client's legs before applying the stockings. Elevating the legs can help reduce swelling and make it easier to apply the stockings.

Option b is incorrect because instructing the client to dorsiﬂex their feet while applying the stockings may not be necessary.

Option c is incorrect because massaging the client's legs before applying the stockings may not be necessary or appropriate.

Option d is incorrect because folding the top of the stockings over after applying them may not be necessary or appropriate.

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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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