A nurse is caring for an older adult client who is experiencing chronic anorexia and is receiving enteral tube feedings. Which of the following laboratory values indicates the client needs additional nutrients added to the feeding?

Triglycerides 100 mg/dL (35 to 135 mg/dL)

Albumin 2.8 g/dL (3.5 to 5.0 g/dL)

Creatinine 1.1 mg/dL (0.5 to 1.3 mg/dL)

Alkaline phosphatase 118 units/L (30 to 120 units/L)

Answer and Explanation

The Correct Answer is B

A. Triglycerides within the normal range do not indicate a need for additional nutrients.

B. A low albumin level of 2.8 g/dL indicates poor protein status and may suggest that the client requires additional protein in their enteral feeding to help with healing and overall nutrition.

C. A creatinine level of 1.1 mg/dL is within normal limits and does not indicate a need for additional nutrients.

D. Alkaline phosphatase at 118 units/L is within the normal range and does not suggest a deficiency requiring additional nutrients.

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Correct Answer is C

Explanation

A. Compensated metabolic acidosis would show a normal pH with a decrease in HCO3- and a decrease in PaCO2.

B. Compensated respiratory acidosis would show a normal pH with an elevated PaCO2 and a compensatory increase in HCO3-.

C. The low pH indicates acidosis, and the elevated PaCO2 suggests that it is respiratory in origin, with the HCO3- remaining normal, indicating no compensation has occurred yet.

D. Uncompensated metabolic acidosis would present with a low pH, low HCO3-, and normal PaCO2.

A. "I am concerned about my child's future participation in team sports." B. "My child doesn't like to sit still for nebulizer treatments." C. "My child has only a small amount of mucus after percussion therapy." D. "I think that my child has been running a fever over the last couple of days."

Correct Answer is C

Explanation

A. Concerns about participation in team sports are important, but they do not directly warrant a request for a high-frequency chest compression vest.

B. Discomfort with nebulizer treatments suggests the need for alternate therapies but does not specifically indicate a need for the vest.

C. A statement regarding a small amount of mucus after percussion therapy suggests that traditional methods of airway clearance may not be effective enough, indicating a need for a high-frequency chest compression vest to help mobilize mucus.

D. A fever may indicate an infection or exacerbation but does not directly relate to the need for a high-frequency chest compression vest.

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A nurse is caring for an older adult client who is experiencing chronic anorexia and is receiving enteral tube feedings. Which of the following laboratory values indicates the client needs additional nutrients added to the feeding?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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