A nurse is caring for a client receiving total parenteral nutrition who weighs 160 lb. If the RDA of protein is 0.3 g/kg of body weight, how many grams of protein should the client receive daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["22"]
- Convert the client’s weight from pounds to kilograms
Weight (kg) = Weight (lb) ÷ 2.2
Weight (kg) = 160 ÷ 2.2
Weight (kg) = 72.73 kg
- Calculate the daily protein requirement
Protein Requirement (g) = Weight (kg) × RDA (g/kg)
Protein Requirement = 72.73 × 0.3
Protein Requirement = 21.82 g
- Round to the nearest whole number
= 22 g
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Notify the rapid response team: While notifying the rapid response team may be necessary if the seizure is prolonged or complicated, immediate priority actions focus on maintaining the client’s safety during the seizure. Delaying safety measures to call for help could put the client at risk of injury.
B. Turn the client on their side: Turning the client on their side helps maintain a patent airway and reduces the risk of aspiration. Ensuring the airway and preventing injury are the highest priorities during a seizure, making this the first action the nurse should take.
C. Obtain the client's vital signs: Vital signs should be assessed after the seizure ends, as obtaining them during active seizure activity is not feasible and does not address immediate safety or airway needs.
D. Perform a neurologic check: Neurologic assessment is important after the seizure to evaluate the client’s postictal status. However, it is not the first priority, because ensuring airway protection and preventing injury take precedence during the seizure.
Correct Answer is A
Explanation
A. "You should walk 400 feet twice per day for the first week following discharge": Gradual ambulation is recommended after coronary artery bypass graft surgery to promote circulation, prevent complications such as deep vein thrombosis, and support cardiac rehabilitation. Walking short distances initially allows the client to build tolerance safely.
B. "You should wait at least 4 weeks before returning to work": Return-to-work timing varies depending on the client’s recovery, type of work, and functional capacity. Specific time frames are individualized, and telling all clients to wait 4 weeks may not apply universally.
C. "You can lift objects that weigh more than 20 pounds 2 weeks after discharge": Clients are typically advised to avoid lifting heavy objects (usually more than 10–15 pounds) for 4–6 weeks to prevent strain on the sternum and allow proper healing. Lifting heavy objects too soon increases the risk of complications.
D. "Limit your sodium intake to 4 grams per day for 4 weeks following discharge": Sodium restriction is recommended for heart health, but the typical guidance is more stringent (usually 2–3 grams per day) and ongoing rather than limited to 4 weeks. Education should focus on long-term dietary modifications.
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