A nurse is teaching a client about serum prealbumin. Which of the following statements should the nurse include?

"This test can determine your risk for bleeding."

"This test can measure your nutritional status."

"This test can determine your risk for cardiovascular disease."

"This test can measure your kidney function."

Answer and Explanation

The Correct Answer is B

A. "This test can determine your risk for bleeding.": Serum prealbumin does not provide information about clotting or bleeding risk. Coagulation studies, such as PT, aPTT, or platelet count, are used to assess bleeding risk, not prealbumin levels.

B. "This test can measure your nutritional status.": Serum prealbumin is a sensitive marker for assessing short-term nutritional status and protein-calorie malnutrition. Because it has a short half-life, changes in prealbumin levels can reflect recent dietary intake and effectiveness of nutritional interventions.

C. "This test can determine your risk for cardiovascular disease.": Prealbumin is not used to assess cardiovascular risk. Lipid profiles, cholesterol levels, and other biomarkers are used for cardiovascular disease risk evaluation, making this statement inaccurate.

D. "This test can measure your kidney function.": Kidney function is assessed through tests such as serum creatinine, BUN, and estimated GFR. Prealbumin levels are not direct indicators of renal function, although severe kidney disease may indirectly affect protein levels.

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Correct Answer is C

Explanation

A. Ecomaps: Ecomaps are visual tools that depict the social and family relationships of an individual or household. They are used in nursing assessments at the family or individual level, not typically in community health report cards.

B. Geographic boundaries: While geographic boundaries may be referenced in a community health report, they are not a primary feature of the report card itself. Boundaries help define the community, but the report card focuses on population health data and outcomes.

C. Needs assessments: Community health report cards summarize data regarding the health status, risks, and needs of a population. Needs assessments identify gaps in services, priority health issues, and areas for intervention, making them a key component of the report card.

D. Care maps: Care maps are individualized or population-based plans that outline interventions for specific diagnoses or conditions. They are tools for planning care, not typically included in the summary findings of a community health report card.

A. Bulging fontanel B. Weight loss C. Distended jugular vein D. Bradycardia

Correct Answer is B

Explanation

A. Bulging fontanel: A bulging fontanel typically indicates increased intracranial pressure, not dehydration. In dehydration, the fontanel is more likely to appear sunken in infants, making this an incorrect finding to monitor for fluid loss.

B. Weight loss: Weight loss is a key indicator of fluid loss in infants. Monitoring daily weight provides an objective measure of dehydration severity and effectiveness of rehydration interventions, making it a critical finding for the nurse to track.

C. Distended jugular vein: Jugular vein distention is associated with fluid overload or cardiac issues, not dehydration. This finding would be unlikely in a 3-month-old infant with gastroenteritis.

D. Bradycardia: Dehydration in infants typically presents with tachycardia as the body compensates for decreased fluid volume. Bradycardia is not a common sign of dehydration and may indicate another underlying condition.

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A nurse is teaching a client about serum prealbumin. Which of the following statements should the nurse include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A nurse is caring for a 3-month-old infant who has gastroenteritis and is receiving monitoring for dehydration. For which of the following findings should the nurse monitor?

Correct Answer is B

Explanation

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