A client is receiving Total Parenteral Nutrition (TPN) for severe malnutrition. Which laboratory result provides evidence supporting TPN effectiveness?
Hemoglobin 12 mg/dL.
Decreased serum Calcium.
Pre-albumin in expected range.
Cholesterol 140mg/dL. . .
The Correct Answer is C
Choice A rationale
Hemoglobin levels indicate general blood health but do not directly reflect nutritional status or TPN effectiveness.
Choice B rationale
Serum calcium levels reflect calcium metabolism, not overall nutritional status or the effectiveness of TPN.
Choice C rationale
Pre-albumin levels provide a sensitive indicator of nutritional status and protein synthesis, showing TPN effectiveness in improving nutrition.
Choice D rationale
Cholesterol levels can be influenced by various factors and do not specifically reflect the effectiveness of TPN in improving nutritional status. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice D rationale
Sudden, sharp abdominal pain is a key indicator of gastrointestinal perforation. This severe symptom results from the leakage of gastrointestinal contents into the abdominal cavity, causing intense pain and requiring urgent medical attention.
Choice A rationale
Elevated blood pressure is not a specific indicator of gastrointestinal perforation. While stress or pain might cause temporary increases in blood pressure, it is not a reliable diagnostic sign for perforation.
Choice B rationale
Low heart rate is not typically associated with gastrointestinal perforation. Instead, tachycardia or increased heart rate might occur due to pain and the body's response to infection or sepsis from a perforation.
Choice C rationale
Hyperactive bowel sounds do not indicate gastrointestinal perforation. In fact, bowel sounds may be absent if a perforation occurs due to the body's response to abdominal infection and inflammation. Hyperactive sounds are more related to increased intestinal activity, not perforation.
Correct Answer is A
Explanation
Choice A rationale
Avoiding beverages with meals can help prevent dumping syndrome, a common complication after gastrectomy where food moves too quickly into the small intestine.
Choice B rationale
Eating three large meals a day is not recommended after gastrectomy as it increases the risk of dumping syndrome. Small, frequent meals are preferred.
Choice C rationale
Having bread with every meal may not be necessary and can contribute to dumping syndrome if consumed in large quantities.
Choice D rationale
Lying down after eating, particularly on the left side, can worsen symptoms by allowing food to move too quickly through the gastrointestinal tract. .
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