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"]

To calculate the daily protein requirement for the client, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds.

The client's weight in kilograms is 190 lb divided by 2.2, which equals approximately

86.36 kg.

Then, multiply the weight in kilograms by the recommended dietary allowance (RDA) of protein, which is 0.8 g/kg. So, 86.36 kg multiplied by 0.8 g/kg equals about

69.09 g. Rounding to the nearest whole number, the client should receive 69 grams of protein daily.

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Correct Answer is B

Explanation

A) Nephrotic syndrome is not typically associated with decreased coagulation.

B) Proteinuria, or the presence of excessive protein in the urine, is a hallmark finding of nephrotic syndrome.
C) Nephrotic syndrome is actually associated with increased serum lipid levels.

D) Hyperalbuminemia is not typically associated with nephrotic syndrome; rather, hypoalbuminemia is more common due to loss of albumin in the urine.

A. Wear an N95 respirator when providing direct client care. B. Make sure the client's room has positive-pressure airflow. C. Make sure dietary plates and utensils are disposable. D. Monitor the client's temperature once every 6 hr.

Correct Answer is B

Explanation

A) While wearing an N95 respirator may be necessary for certain infections, it is not a routine precaution for clients in protective isolation.
B) Ensuring the client's room has positive-pressure airflow helps prevent the entry of airborne pathogens into the room, reducing the risk of infection for the immunocompromised client.
C) Using disposable plates and utensils helps reduce the risk of cross-contamination and infection transmission but is not directly related to airborne infection control.
D) Monitoring the client's temperature is important for assessing for signs of infection, but it does not directly prevent infection transmission in the same way as positive-pressure airflow.

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