A nurse is reviewing the medical record of a client who has AIDS and is malnourished. The client has been receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as a therapeutic response to the TPN?

Temperature 38.4°C (101.1°F).

BMI 18.5.

BUN 25 mg/dL.

Hgb 10 g/dL.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Temperature 38.4°C (101.1°F) An elevated temperature could indicate an infection, which would not be a therapeutic response to total parenteral nutrition (TPN). TPN is provided to support the client's nutrition and help improve their condition; an elevated temperature might suggest ongoing illness.
Choice B rationale:
BMI 18.5 A BMI of 18.5 is considered within the normal range, indicating that the client's malnutrition is improving due to the TPN therapy. A higher BMI suggests a better nutritional status, which is a therapeutic response to the intervention.
Choice C rationale:
BUN 25 mg/dL Blood Urea Nitrogen (BUN) levels can be affected by various factors, including hydration status, renal function, and protein intake. While BUN levels might be monitored to assess renal function and overall nutritional status, a specific BUN level of 25 mg/dL does not directly indicate a therapeutic response to TPN.
Choice D rationale:
Hgb 10 g/dL Hemoglobin (Hgb) level of 10 g/dL is within the normal range for hemoglobin levels. Adequate nutrition, as provided by TPN, can support the production of red blood cells and maintain hemoglobin levels. Therefore, an Hgb level of 10 g/dL can be considered a positive therapeutic response to TPN.

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Correct Answer is C

Explanation

The correct answer is choice C. Hydrolyzed.

Choice A rationale:

A low-protein formula is not typically recommended for clients with inflammatory bowel disease (IBD). Protein is essential for healing and maintaining muscle mass, especially in patients with chronic conditions like IBD. Therefore, reducing protein intake could be detrimental to their overall health.

Choice B rationale:

High-fiber formulas are generally not suitable for IBD patients, particularly during flare-ups. High fiber can exacerbate symptoms like diarrhea and abdominal pain by increasing bowel movements and irritation in the intestines.

Choice C rationale:

Hydrolyzed formulas are appropriate for clients with IBD because they contain proteins that are broken down into smaller peptides or amino acids, making them easier to digest and absorb.This can help reduce the workload on the intestines and minimize symptoms like malabsorption and inflammation.

Choice D rationale:

A low-calorie formula is not ideal for IBD patients, who often need adequate caloric intake to maintain their weight and nutritional status. Malnutrition is a common concern in IBD, so ensuring sufficient calorie intake is crucial for these patients.

A. Use a washcloth to clean the denture surfaces. B. Wipe dentures before storing them in a dry container at night. C. Floss dentures as part of daily cleaning. D. Wrap gloved fingers with gauze to remove dentures.

Correct Answer is B

Explanation

Choice A rationale:
Using a washcloth to clean denture surfaces is not the recommended method as it can lead to scratches on the dentures, making them more susceptible to bacterial growth and staining.
Choice B rationale:
Wiping dentures before storing them in a dry container at night is the correct choice. This practice helps remove debris and bacteria, preventing them from accumulating overnight. Storing dentures in a dry container helps maintain their shape and prevents the growth of microorganisms that thrive in moist environments.
Choice C rationale:
Flossing dentures is not necessary and may damage or distort them. Unlike natural teeth, dentures do not have interdental spaces that require flossing.
Choice D rationale:
Wrapping gloved fingers with gauze to remove dentures is not the best practice, as it may cause damage to the dentures and also increases the risk of contamination.

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A nurse is reviewing the medical record of a client who has AIDS and is malnourished. The client has been receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as a therapeutic response to the TPN?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to initiate enteral feedings for a client who has inflammatory bowel disease. The nurse should recognize that which of the following formulas is appropriate for this client?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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