A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following laboratory results indicates a possible complication of this therapy?

Serum calcium 12.5 mg/dL

BUN 16 mg/dL

Serum potassium 4.6 mEq/L

WBC count 8,000/mm³

Answer and Explanation

The Correct Answer is A

A nurse caring for a client who is receiving total parenteral nutrition should identify that a serum calcium level of 12.5 mg/dL indicates a possible complication of this therapy. Total parenteral nutrition can result in electrolyte imbalances, including hypercalcemia (high levels of calcium in the blood).

The other laboratory results are within normal ranges and do not indicate a complication of total parenteral nutrition.

b) A BUN level of 16 mg/dL is within the normal range.

c) A serum potassium level of 4.6 mEq/L is within the normal range.

d) A WBC count of 8,000/mm³ is within the normal range.

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Correct Answer is B

Explanation

The nurse should report the possible abuse to adult protective services if an older adult client states that their child took all their money. This is an important nursing intervention to ensure the safety and well-being of the client.

a) Instructing the client to report the theft to the police may be appropriate, but it is not the first action the nurse should take. The nurse has a legal and ethical obligation to report suspected abuse to the appropriate authorities.

c) Asking the client if there is another family member they can call for financial help may be appropriate, but it does not address the issue of possible abuse.

d) Restricting visitation for the client's family until discharge is not appropriate and may violate the client's rights.

A. History of renal calculus B. Migraines with aura C. BMI of 25 D. History of cholecystectomy

Correct Answer is B

Explanation

b. Migraines with aura.

Explanation:

Migraines with aura are considered a contraindication to the use of oral contraceptives. Auras are neurological symptoms that occur before or during migraines and can include visual disturbances, sensory changes, or speech difficulties. Women who experience migraines with aura have an increased risk of ischemic stroke when taking oral contraceptives. Therefore, it is important to identify this condition as a contraindication and explore alternative contraceptive options for the client.

The other options (a. History of renal calculus, c. BMI of 25, d. History of cholecystectomy) are not contraindications to the use of oral contraceptives.

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A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following laboratory results indicates a possible complication of this therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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