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.)

A. "Wear cotton rather than nylon socks.": Cotton socks help keep the feet dry by absorbing moisture, reducing the risk of fungal infections and skin breakdown. They also allow better air circulation than nylon, which can trap moisture and increase friction. This instruction supports protective foot care for clients with diabetes.

B. "Use a heating pad to keep your feet warm at night.": Heating pads should be avoided because clients with diabetes may have peripheral neuropathy and reduced sensation. Using heat sources increases the risk of burns or skin injury without the client realizing it, making this unsafe for foot care.

C. "Wear loose fitting slippers around the house.": Loose footwear can cause friction, slipping, and inadequate support, increasing the risk of injury. Diabetic clients should wear well-fitting, closed-toe shoes to protect the feet from trauma and prevent skin breakdown.

D. "Wash your feet twice per day with antibacterial soap and hot water.": Hot water can burn insensate feet, and antibacterial soaps can dry and irritate the skin. Clients should wash their feet once daily with warm water and mild soap to maintain skin integrity while avoiding injury or excessive dryness.

A. Abdominal assessment: A distended abdomen with hypoactive bowel sounds on postoperative day 3 is not expected and can suggest developing postoperative ileus. The continued absence of bowel movements and persistent distention indicate delayed return of bowel function and require further assessment.

B. Hematocrit: A hematocrit of 34% on postoperative day 1 is slightly low and reflects postoperative hemodilution or mild blood loss, but it is not an expected finding for postoperative day 3 since no new labs are provided.

C. Oxygen saturation: An oxygen saturation of 97% on room air on postoperative day 3 demonstrates adequate oxygenation and recovery of respiratory function. It indicates that the client is no longer requiring supplemental oxygen, which is expected as mobility improves and anesthetic effects wear off.

D. Pain assessment: Severe pain rated 8–9 out of 10 on postoperative day 3, despite medication, is not expected. Pain should be gradually improving by this time, and uncontrolled pain suggests complications such as infection, ileus, or abscess formation that require further evaluation.

E. Urinary output: A 12-hr urine output of 800 mL reflects normal renal function and adequate hydration. This level of urine production is expected postoperatively, especially with an indwelling catheter in place ensuring accurate measurement.