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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 B

Explanation

A. While the Morse Fall Risk scale is important for assessing fall risk, it is not the priority after an ORIF procedure. The client’s neurovascular status should be closely monitored to prevent complications.

B. A neurovascular assessment is the priority after an ORIF of the femur. This includes checking for circulation, sensation, and movement (CSM) in the affected leg to ensure there is no compromise to the blood flow or nerve function. This is crucial to detect complications like compartment syndrome or circulatory impairment early.

C. The Braden scale is used to assess the risk for pressure ulcers and is important but not the priority after surgery. Neurovascular status takes precedence in the postoperative period.

D. Pain assessment is important for managing the client’s comfort, but it is secondary to ensuring proper neurovascular function to prevent further complications such as ischemia or nerve damage.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A,B"},"E":{"answers":"A"}}

Explanation

Rationale

Interpretation of Assessment Findings:

  • Urine ketones:
    • DKA
      The presence of urine ketones is a hallmark of diabetic ketoacidosis (DKA), as it indicates the body is breaking down fat for energy due to insufficient insulin. Ketones are typically not present in hyperglycemic-hyperosmolar state (HHS).
  • Blood glucose greater than expected reference range:
    • DKA
    • HHS
      Elevated blood glucose levels are consistent with both DKA and HHS. However, blood glucose levels tend to be higher in HHS than in DKA, often exceeding 600 mg/dL in HHS.
  • Skin turgor:
    • DKA
    • HHS
      Decreased skin turgor indicates dehydration, which is a common feature in both DKA and HHS due to osmotic diuresis caused by hyperglycemia.
  • Creatinine greater than expected reference range:
    • DKA
    • HHS
      Elevated creatinine reflects impaired renal function, often due to dehydration or acute kidney injury, which can occur in both DKA and HHS.
  • Blood pH:
    • DKA
      A blood pH of 7.30 indicates metabolic acidosis, a defining feature of DKA. Blood pH is typically normal in HHS because it does not involve significant ketoacidosis.

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