A nurse is admitting a client who reports anorexia and malnutrition. Which of the following laboratory findings should the nurse expect to be altered?
Creatine kinase
Troponin
Total bilirubin
Albumin
The Correct Answer is D
Choice A reason: Creatine kinase is an enzyme elevated in muscle injury or myocardial infarction. It is not typically altered in malnutrition unless there is concurrent muscle breakdown.
Choice B reason: Troponin is a cardiac marker elevated in myocardial injury. Malnutrition alone does not alter troponin levels.
Choice C reason: Total bilirubin is elevated in liver disease or hemolysis. Malnutrition does not directly alter bilirubin unless severe hepatic dysfunction is present.
Choice D reason: Albumin is a protein synthesized by the liver and is commonly decreased in malnutrition due to inadequate protein intake. Low albumin levels are a hallmark laboratory finding in malnourished patients, making this the correct answer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Clonidine is an antihypertensive medication that works as an alpha-2 adrenergic agonist. It is not associated with agranulocytosis.
Choice B reason: Haloperidol, a typical antipsychotic, can cause extrapyramidal symptoms and tardive dyskinesia but is not commonly linked to agranulocytosis.
Choice C reason: Clozapine, an atypical antipsychotic, is strongly associated with agranulocytosis, a potentially life-threatening reduction in white blood cells. Clients taking clozapine require regular monitoring of complete blood counts to detect this adverse effect early.
Choice D reason: Lithium is a mood stabilizer used in bipolar disorder. Its adverse effects include tremors, polyuria, hypothyroidism, and toxicity symptoms, but agranulocytosis is not a common risk.
Correct Answer is A
Explanation
Choice A reason: Bologna is a processed meat that contains tyramine. Clients taking MAOIs must avoid foods high in tyramine because they can precipitate a hypertensive crisis. Processed meats, aged cheeses, and fermented products are particularly dangerous.
Choice B reason: Sliced apples are safe for clients taking MAOIs. Fresh fruits do not contain tyramine and do not pose a risk.
Choice C reason: Cheese, especially aged varieties, is high in tyramine. This would also require intervention. Since the question asks for the item requiring intervention, both bologna and cheese are problematic, but bologna is the clearest example of a food to avoid.
Choice D reason: Whole milk is safe for clients on MAOIs. It does not contain tyramine and does not interact with the medication.
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