A nurse is reviewing the results of laboratory tests a client had as part of a comprehensive nutritional assessment. Which of the following results should the nurse report to the provider?
Albumin 2.2 g/dL
Total cholesterol 179 mg/dL
Total thyroxine 9 mcg/dL
Calcium 9.9 mg/dL
The Correct Answer is A
A. An albumin level of 2.2 g/dL is critically low (normal: 3.5–5.0 g/dL), indicating severe malnutrition, liver disease, or nephrotic syndrome. This requires immediate reporting for further assessment and intervention.
B. A total cholesterol level of 179 mg/dL is within the normal range (desirable: <200 mg/dL) and does not require reporting.
C. A total thyroxine (T4) level of 9 mcg/dL is within the normal range (4.6–11.2 mcg/dL) and does not indicate a nutritional issue.
D. A calcium level of 9.9 mg/dL is normal (8.5–10.5 mg/dL) and does not require immediate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Asthma is not a contraindication for niacin therapy.
B. This is the correct answer. Niacin can cause hepatotoxicity and is contraindicated in clients with active liver disease.
C. Hyperthyroidism is not directly affected by niacin use.
D. High blood pressure is a precaution but not an absolute contraindication.
Correct Answer is D
Explanation
A. Place the client in Trendelenburg position during the procedure – Incorrect, as amniocentesis is typically performed with the client in a supine position.
B. Instruct the client to maintain a full bladder for the procedure – This is required for an early pregnancy amniocentesis (before 20 weeks), but for later procedures, the bladder should be empty.
C. Administer a tocolytic 30 min before the procedure – Not routinely necessary unless the client is at risk for preterm labor.
D. Monitor the fetal heart rate throughout the procedure – Correct, as amniocentesis carries a risk of fetal distress, and continuous monitoring ensures immediate detection of complications.
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