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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Polyuria is not typically associated with immobility; instead, immobility can lead to urinary retention.
B. Contractures of the extremities occur due to prolonged immobility, leading to shortening of muscles and tendons.
C. Diarrhea is not a common complication of immobility; constipation is more frequently seen due to decreased mobility.
D. Crackles in the lungs can develop due to stasis of secretions and respiratory complications related to immobility.
E. Pressure ulcers develop from prolonged pressure on the skin due to immobility, especially over bony prominences.
Correct Answer is C
Explanation
A. Muscle rigidity is not a typical manifestation of digoxin toxicity; it is more commonly associated with other conditions or medications.
B. Constipation can occur but is not a primary sign of digoxin toxicity.
C. Nausea is a common early sign of digoxin toxicity and should be included in the teaching. Other symptoms may include vomiting, visual disturbances, and confusion.
D. Wheezing is not associated with digoxin toxicity; it may suggest respiratory issues or an allergic reaction.
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