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A nurse is caring for a client who weighs 190 lb and is receiving total parenteral nutrition. If the RDA of protein is 0.8 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.)
Answer and Explanation

The Correct Answer is ["69"]

  Convert pounds to kilograms: There are approximately 2.2 pounds in 1 kilogram.

190 lb / 2.2 lb/kg = 86.36 kg (approximately)

  Calculate protein needs based on RDA: The RDA is 0.8 g/kg.

86.36 kg x 0.8 g/kg = 69.09 g

  Round to the nearest whole number:

69 g


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Related Questions

Correct Answer is B

Explanation

A. A 25-gauge saline lock is too small for administering fresh frozen plasma. Plasma should be transfused through a larger gauge catheter (typically 18 or 20 gauge) to ensure proper flow and minimize complications.

B. Fresh frozen plasma should be administered as soon as possible after thawing, typically within 30 minutes to 1 hour, to maintain its efficacy and avoid bacterial growth.

C. Fresh frozen plasma should not be transfused over 4 hours. It is usually given within 1 to 2 hours to minimize the risk of bacterial contamination and ensure proper clotting factor effectiveness.

D. Holding the transfusion if the client is actively bleeding is not appropriate. In fact, fresh frozen plasma is often administered to clients who are actively bleeding or who have clotting disorders to replace deficient clotting factors.

Correct Answer is C

Explanation

A. Diphenhydramine is an antihistamine and is primarily used for allergy symptoms or as a sedative. While it has anti-nausea properties, it is not the most effective medication for chemotherapy-induced nausea and vomiting.

B. Sertraline is an SSRI used primarily for depression and anxiety. It is not typically used for chemotherapy-induced nausea and vomiting.

C. Ondansetron is the most appropriate medication. It is a serotonin 5-HT3 receptor antagonist commonly used to prevent nausea and vomiting caused by chemotherapy. It works by blocking serotonin receptors in the gastrointestinal tract and central nervous system, preventing nausea.

D. Methylprednisolone is a corticosteroid and may be used as part of a combination regimen to manage nausea and vomiting associated with chemotherapy, but it is not the first-line medication for nausea. Ondansetron would typically be given first.

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