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A nurse is caring for a client who is prescribed 45 calories/kg per day. The client weighs 132 lb. What should the client's daily caloric intake be? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["2700"]

Step 1: convert pounds to kg 1kg=2.2 IB

132ib= 132/2.2

=60kg Step 2:

Prescription 45cal/kg

=45*60

=2700calories per day

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Correct Answer is D

Explanation

A. Lactulose is a laxative that works by reducing the absorption of ammonia in the colon, leading to increased bowel movements. Therefore, there should be an increase rather than a decrease in the number of bowel movements with this medication.

B. Lactulose is typically administered orally or rectally, not intravenously.

C. Lactulose does not treat infection; it helps reduce ammonia levels in hepatic encephalopathy by promoting bowel movements to expel ammonia.
D. Monitoring the serum ammonia level is essential in assessing the effectiveness of lactulose therapy. Reduction in serum ammonia levels indicates that the medication is working to reduce ammonia absorption in the colon.

A. "I should notify the provider if I have increased thirst." B. "I should consume foods high in potassium." C. "I should use a salt substitute to season my foods." D. "I should take this medication at bedtime."

Correct Answer is A

Explanation

A. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, which can lead to symptoms such as increased thirst. Notifying the provider of increased thirst can help monitor for potential electrolyte imbalances.
B. Consuming foods high in potassium can exacerbate hyperkalemia, which is a potential side effect of spironolactone. Clients prescribed spironolactone are typically advised to avoid potassium-rich foods.
C. Using a salt substitute to season foods can increase sodium intake, which may counteract the effects of spironolactone and increase the risk of fluid retention and hypertension.
D. Taking spironolactone at bedtime is not typically recommended. It is usually taken in the morning to avoid disrupting sleep due to increased urination.

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A nurse is caring for a client who is prescribed 45 calories/kg per day. The client weighs 132 lb. What should the client's daily caloric intake be? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to the partner of a client who has hepatic encephalopathy about a prescription for lactulose. Which of the following statements should the nurse make to the client's partner?

Correct Answer is D

Explanation

A nurse is providing discharge instructions for a client who has a new prescription for spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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