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A nurse is caring for a client who weighs 190 lb and is receiving total parenteral nutrition. If the RDA of protein is 0.8 g/kg of body weight, how many grams of protein should the client receive daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Answer and Explanation

The Correct Answer is ["69"]

  Convert pounds to kilograms: There are approximately 2.2 pounds in 1 kilogram.

190 lb / 2.2 lb/kg = 86.36 kg (approximately)

  Calculate protein needs based on RDA: The RDA is 0.8 g/kg.

86.36 kg x 0.8 g/kg = 69.09 g

  Round to the nearest whole number:

69 g


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Related Questions

Correct Answer is A

Explanation

A. Decreased blood pressure is a key indicator of dehydration. When a client is dehydrated, there is a reduction in circulating blood volume, which can lead to hypotension. This is a common sign of dehydration, especially in cases of gastroenteritis where fluid loss occurs through vomiting and diarrhea.

B. Pitting, dependent edema is more commonly associated with fluid retention or conditions like heart failure or kidney disease, not dehydration. Dehydration typically results in fluid volume deficit, not excess fluid retention.

C. Distended jugular veins are usually indicative of fluid overload, not dehydration. This is often seen in conditions like heart failure, where the body cannot effectively manage fluid volume.

D. Increased blood pressure is not typically a sign of dehydration. Dehydration tends to lead to decreased blood pressure due to reduced blood volume.

Correct Answer is D

Explanation

A. Neurogenic bladder refers to bladder dysfunction due to nerve damage and is not related to the positioning of the urinary catheter or IV tubing.

B. Skin breakdown could be a concern with immobility or moisture around the catheter site, but the primary risk from the kinked tubing and improper catheter bag positioning is infection, not skin breakdown.

C. Phlebitis is inflammation of the vein, typically caused by an IV site issue, but this is not related to the urinary catheter or tubing.

D. Infection is the primary concern when the urinary catheter is not properly positioned. A kinked IV tubing can cause pressure and backflow, and if the catheter bag is not positioned below the bladder, it can increase the risk of urinary tract infections (UTIs). Proper positioning and drainage of the catheter are essential to prevent infection.

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