While caring for a client receiving total parenteral nutrition (TPN), it is most important for the nurse to monitor which of the client's lab values?
Urinary ketones.
Serum protein.
Serum osmolarity.
Capillary glucose.
The Correct Answer is C
Choice A
Urinary ketones are not most important. Monitoring urinary ketones can provide information about the utilization of glucose and fat as energy sources. However, it is not the primary lab value to monitor in TPN administration.
Choice B
Serum protein is not most important. Monitoring serum protein levels is important to assess nutritional status, but it might not be as immediate a concern as serum osmolarity.
Choice C
Serum osmolarity is the most important. When caring for a client receiving total parenteral nutrition (TPN), monitoring serum osmolarity is most important. TPN is a highly concentrated solution containing various nutrients, and it is infused directly into the bloodstream. Serum osmolarity reflects the concentration of particles (such as electrolytes, glucose, and other solutes) in the blood. Monitoring serum osmolarity is crucial to prevent complications related to fluid and electrolyte imbalances that can arise from the administration of TPN.
Choice D
Capillary glucose is not the most important. Monitoring capillary glucose levels is important, especially in clients receiving TPN with added glucose. Hyperglycaemia is a potential complication of TPN. While glucose monitoring is important, it is secondary to monitoring serum osmolarity, which encompasses a broader range of solute concentrations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A
Grilled salmon is correct. Salmon is a good source of protein and healthy omega-3 fatty acids. Protein is essential for wound healing and tissue repair, while omega-3 fatty acids have anti-inflammatory properties that can help with the healing process.
Choice B
Soda crackers is incorrect. Soda crackers are not particularly nutrient-dense and may not contribute significantly to postoperative healing. While they might be a bland option for settling the stomach, they do not offer the same nutritional benefits as the other selected options.
Choice C
Scrambled eggs are correct. Eggs are a good source of high-quality protein and contain essential nutrients like vitamin D and choline. Protein is crucial for tissue repair and recovery, and vitamin D supports bone health.
Choice D
Baked chicken is correct: Lean protein sources like baked chicken are important for wound healing and maintaining muscle mass. Protein helps the body repair and build new tissues.
Choice E
Flavoured gelatine is correct. Flavoured gelatine can be a soft and easily digestible source of hydration and calories. It's also a good option for someone recovering from surgery as it provides some energy and can be gentle on the digestive system.
Correct Answer is C
Explanation
Choice A
Urinary ketones are not most important. Monitoring urinary ketones can provide information about the utilization of glucose and fat as energy sources. However, it is not the primary lab value to monitor in TPN administration.
Choice B
Serum protein is not most important. Monitoring serum protein levels is important to assess nutritional status, but it might not be as immediate a concern as serum osmolarity.
Choice C
Serum osmolarity is the most important. When caring for a client receiving total parenteral nutrition (TPN), monitoring serum osmolarity is most important. TPN is a highly concentrated solution containing various nutrients, and it is infused directly into the bloodstream. Serum osmolarity reflects the concentration of particles (such as electrolytes, glucose, and other solutes) in the blood. Monitoring serum osmolarity is crucial to prevent complications related to fluid and electrolyte imbalances that can arise from the administration of TPN.
Choice D
Capillary glucose is not the most important. Monitoring capillary glucose levels is important, especially in clients receiving TPN with added glucose. Hyperglycaemia is a potential complication of TPN. While glucose monitoring is important, it is secondary to monitoring serum osmolarity, which encompasses a broader range of solute concentrations.
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