A nurse is reviewing the laboratory results of a client who has Crohn's disease and experienced an exacerbation 7 days ago. Which of the following laboratory results should the nurse identify as an indication the client is experiencing malnutrition?

Hematocrit 37%

Iron 160 mcg/dL

Prealbumin 9 mg/dL.

C-reactive protein 15 mg/L

Answer and Explanation

The Correct Answer is C

A) Hematocrit 37% is within the normal range for adults, indicating that the client’s red blood cell volume is adequate. While anemia can be a concern in clients with Crohn's disease, this value does not specifically indicate malnutrition.

B) Iron 160 mcg/dL is above the normal range (typically 50-170 mcg/dL). Elevated iron levels can result from supplementation or other factors, but it does not directly indicate malnutrition. Iron status alone is not a reliable marker for overall nutritional status.

C) Prealbumin 9 mg/dL is significantly below the normal range (15-36 mg/dL). Low prealbumin levels are a strong indicator of malnutrition because prealbumin has a short half-life and reflects recent changes in protein status and dietary intake. This result suggests the client has been experiencing inadequate nutritional intake or absorption.

D) C-reactive protein (CRP) 15 mg/L indicates inflammation, which is common during an exacerbation of Crohn's disease. While elevated CRP levels signal active inflammation, they do not specifically indicate malnutrition. CRP is more commonly used as a marker of inflammatory activity rather than nutritional status.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A) "I should choose cold foods over warm foods.": Cold foods are not necessarily better than warm foods for someone with ulcerative colitis. The choice of temperature depends on individual tolerance, but there is no specific recommendation that cold foods are preferable. Warm, easily digestible foods can also be soothing and well-tolerated.

B) "I should follow a low-protein diet.": This is not an accurate recommendation for ulcerative colitis. Protein is essential for healing and maintaining muscle mass, especially if the client is experiencing malnutrition or weight loss due to the disease. A balanced diet with adequate protein is important for overall health.

C) "I should increase my fiber intake to 35 grams a day.": High fiber intake can be problematic for those with active ulcerative colitis as it may increase symptoms such as bloating, gas, and diarrhea. It is often recommended to limit fiber intake during flare-ups and focus on low-residue diets to reduce bowel activity.

D) "I should eat small, frequent meals throughout the day.": This is a recommended approach for managing ulcerative colitis. Small, frequent meals can help ensure adequate nutrient intake without overwhelming the digestive system, which can help manage symptoms and improve overall comfort.

A. Hispanic ethnicity B. Cholesterol 190 mg/dL C. BMI of 28 D. History of atrial fibrillation.

Correct Answer is C

Explanation

A) Hispanic ethnicity: While ethnicity can influence the prevalence and risk of hypertension, Hispanic ethnicity alone is not a direct risk factor for hypertension. Other factors such as lifestyle, diet, and genetic predispositions play more significant roles in the development of hypertension.

B) Cholesterol 190 mg/dL: Although elevated cholesterol levels can contribute to cardiovascular disease, a cholesterol level of 190 mg/dL is considered borderline high but not a primary risk factor for hypertension. The risk for hypertension is more directly related to factors like blood pressure levels and weight.

C) BMI of 28: A Body Mass Index (BMI) of 28 falls into the overweight category, which is a known risk factor for developing hypertension. Excess body weight can increase blood pressure by increasing the workload on the heart and contributing to insulin resistance, which can further elevate blood pressure.

D) History of atrial fibrillation: While atrial fibrillation is a significant cardiac condition and can be associated with other cardiovascular risks, it is not a direct risk factor for the development of hypertension. The primary risk factors for hypertension include factors like obesity, diet, and physical inactivity.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reviewing the laboratory results of a client who has Crohn's disease and experienced an exacerbation 7 days ago. Which of the following laboratory results should the nurse identify as an indication the client is experiencing malnutrition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing dietary teaching with a client who has the inflammatory bowel disorder ulcerative colitis. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse in a provider's office is reviewing the medical record of a client. The nurse should identify which of the following findings as a risk factor for the development of hypertension?

Correct Answer is C

Explanation

A nurse is examining a skin infection on a client's lower left leg. Findings include edema, erythema, tenderness, and the client reports pain. The nurse should identify that these findings indicate which of the following?

A nurse is caring for a client who has claustrophobia and is scheduled for an MRI to evaluate potential pericarditis. Which of the following actions should the nurse take?

A nurse is assessing a client who has a mechanical bowel obstruction caused by intussusception of the ileum. Which of the following findings should the nurse expect?

A nurse is planning care for a client who has COPD with dyspneic episodes. Which of the following interventions should the nurse include?

A nurse is assessing a client who has a complete small bowel obstruction. Which of the following manifestations should the nurse expect? (Select all that apply.)

A nurse is planning care for a client who has generalized anxiety disorder. Which of the following interventions should the nurse include in the plan of care?

A nurse is assessing a client who has anemia. Which of the following manifestations should the nurse expect?

A nurse working in an emergency department is reviewing laboratory results of a client who is unconscious and has fruity odor to his breath. The nurse suspects diabetic ketoacidosis. Which of the following results should the nurse expect for this acid-base imbalance?