A nurse is reviewing the laboratory results of a female client who has liver dysfunction a receiving a continuous tube feeding. Which of the findings should the nurse identify as a protein deficiency?
Albumin 3.1 g/dL (3.5 to 5.0 g/dL)
Transferrin 400 mg/dL (250 to 380 mg/dL)
Uric acid 2.3 mg/dL (2.7 to 7.3 mg/dL)
Total iron-binding capacity 488 mcg/dL (250 to 460 mcg/dL)
The Correct Answer is A
A. Albumin 3.1 g/dL (3.5 to 5.0 g/dL)
Albumin is a protein produced by the liver, and its levels are commonly used as an indicator of nutritional status, particularly protein status. In clients with liver dysfunction and receiving continuous tube feeding, a low albumin level indicates protein deficiency. Albumin plays a crucial role in maintaining oncotic pressure in the blood vessels, and decreased levels can lead to fluid shifts and edema, among other complications.
B. Transferrin 400 mg/dL (250 to 380 mg/dL):
Transferrin is a protein involved in iron transport. While high transferrin levels may indicate iron deficiency, they do not directly reflect protein deficiency.
C. Uric acid 2.3 mg/dL (2.7 to 7.3 mg/dL):
Uric acid is a waste product of metabolism. Low uric acid levels are not indicative of protein deficiency; instead, they may be seen in conditions such as liver dysfunction or decreased production of uric acid.
D. Total iron-binding capacity 488 mcg/dL (250 to 460 mcg/dL):
Total iron-binding capacity measures the amount of iron that can be bound by transferrin. Elevated total iron-binding capacity may indicate iron deficiency, but it does not directly reflect protein deficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Garlic: Garlic supplements have been studied for their potential benefits in reducing blood pressure. Some research suggests that garlic may have a modest effect in lowering blood pressure, although results have been mixed. It contains compounds that may promote relaxation of blood vessels and improve circulation, potentially leading to a reduction in blood pressure.
B. Peppermint oil: Peppermint oil is not typically used as a complementary therapy for hypertension. While it may have some health benefits, such as relieving indigestion and nausea, there is limited evidence to suggest that it has a significant impact on blood pressure.
C. Licorice root: Licorice root has been associated with raising blood pressure in some individuals due to its effect on cortisol levels. It contains glycyrrhizin, which can cause sodium retention and potassium loss, potentially leading to increased blood pressure. Therefore, it is not recommended for individuals with hypertension.
D. Chamomile: Chamomile is often used for its calming properties and may help promote relaxation and reduce stress, but there is limited evidence to suggest that it has a significant effect on blood pressure. It is not typically recommended as a primary complementary therapy for hypertension.
Correct Answer is ["A","C","E","F"]
Explanation
A. History of diabetes mellitus: This is correct. Diabetes mellitus can lead to delayed wound healing due to various factors, including impaired circulation, neuropathy, and compromised immune function.
B. Cholesterol level: While abnormal cholesterol levels can impact cardiovascular health, they are not directly linked to delayed wound healing unless they are part of a broader metabolic disorder or condition that affects vascular health.
C. Prealbumin level: Prealbumin is a marker of nutritional status. Low prealbumin levels can indicate malnutrition, which is a risk factor for delayed wound healing.
D. History of hyperlipidemia: Hyperlipidemia refers to high levels of fats (lipids) in the blood, such as cholesterol and triglycerides. While hyperlipidemia is associated with cardiovascular risk, it is not a direct risk factor for delayed wound healing unless it is part of a broader metabolic syndrome or condition affecting vascular health.
E. Mini Nutritional Assessment screening tool score: This is correct. The Mini Nutritional Assessment (MNA) screening tool assesses nutritional status, and a low score indicates malnutrition or nutritional deficiencies, which can contribute to delayed wound healing.
F. History of malnutrition: This is correct. Malnutrition, whether due to inadequate intake, absorption issues, or other factors, is a significant risk factor for delayed wound healing as it affects the body's ability to repair tissues and fight infection.
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