A nurse is assessing the nutritional status of an adult client who is experiencing acute kidney injury. The nurse should identify that which of the following laboratory values indicates an adequate nutritional intake?
Hgb 10 g/dL
Serum albumin 3.7 g/dL
Serum creatinine 2.0 mg/dL
BUN 22 mg/dL
The Correct Answer is B
Rationale:
A. Hgb 10 g/dL: This is below the normal range (typically 12–16 g/dL for females, 14–18 g/dL for males) and may indicate anemia, common in kidney injury but not a reliable indicator of nutritional status.
B. Serum albumin 3.7 g/dL: This is within the normal range (3.5–5.0 g/dL) and reflects adequate protein and nutritional intake, making it a reliable indicator in assessing nutritional status.
C. Serum creatinine 2.0 mg/dL: Elevated levels indicate impaired renal function, not nutritional adequacy. This value is common in acute kidney injury but does not assess nutrition directly.
D. BUN 22 mg/dL: Although mildly elevated, BUN can be affected by dehydration, renal function, and protein intake, so it is not a specific indicator of adequate nutrition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. To eliminate health disparities due to client disabilities: One of the key goals of Healthy People 2020 is to achieve health equity and eliminate disparities among all population groups, including those with disabilities. The initiative emphasizes improving health outcomes across diverse and underserved communities.
B. To provide financial assistance for families with low incomes: While financial barriers affect access to care, Healthy People 2020 focuses on setting health goals and promoting systemic change, not directly offering financial assistance or subsidies.
C. To define health disparities based on clients' religious belief: Healthy People 2020 recognizes religion as a potential factor in health disparities but does not aim to define disparities based solely on religion. The focus is broader, addressing multiple determinants of health.
D. To increase the assistance for health disparities to clients who are heterosexual: Healthy People 2020 aims to reduce disparities for vulnerable populations, including LGBTQ+ individuals. Heterosexual clients are not considered a health disparity group under this initiative.
Correct Answer is D
Explanation
Rationale:
A. Xeroderma: Xeroderma, or dry skin, is a dermatological condition unrelated to pulmonary embolism. It does not indicate impaired gas exchange or vascular obstruction in the lungs.
B. Hiccups: Hiccups can occur due to various reasons including gastric irritation or phrenic nerve stimulation, but they are not a hallmark sign of a pulmonary embolism and do not typically accompany sudden dyspnea from PE.
C. Decreased heart rate: A pulmonary embolism often causes tachycardia due to hypoxia and sympathetic nervous system activation. A decreased heart rate is not typical and may indicate another pathology.
D. Pleural friction rub: A pleural friction rub may be heard with a pulmonary embolism when the pleura becomes inflamed due to ischemia or infarction. Combined with sudden dyspnea, this supports the diagnosis of a PE.
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