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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. . .

Answer and Explanation

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. .

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Correct Answer is D

Explanation

Choice A rationale

This statement is confrontational and fails to set clear boundaries or address the behavior effectively.

Choice B rationale

Asking about medications is irrelevant to the immediate behavior issue and could escalate the situation.

Choice C rationale

This response is defensive and could provoke further aggression from the client.

Choice D rationale

This statement acknowledges the client's emotions while firmly setting a boundary for inappropriate behavior, promoting a safe environment. .

Correct Answer is ["688"]

Explanation

Step 1:
Calculate the duration in minutes from 1400 to 1930. 1930 - 1400 = 5 hours 30 minutes = 330 minutes
Step 2:

Determine the infusion rate per hour. 125 mL/hour

Step 3:

Calculate the total volume infused. (125 mL/hour) × (330 minutes ÷ 60 minutes/hour) = (125 mL/hour) × (5.5 hours) = 687.5 mL Rounded to the nearest whole number = 688 mL.

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A client is receiving Total Parenteral Nutrition (TPN) for severe malnutrition. Which laboratory result provides evidence supporting TPN effectiveness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or querry for the nurse to make about the client's behavior?

Correct Answer is D

Explanation

The nurse begins a 1000 mL bag of DS 0.45 Saline plus 20 meq of KCl at 125 mL per hour at 1400. The IV is stopped due to signs of infiltration at 1930. How many milliliters will have infused during that time period? Round to the nearest whole number. Do not use trailing zeros.

Correct Answer is ["688"]

Explanation

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