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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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Correct Answer is B

Explanation

A. While IV fluids are important to prevent renal failure due to myoglobin release, the priority action is to assess for any immediate life-threatening issues, such as cardiac arrhythmias, which are common after electrical shock.

B. Obtaining an ECG is the first priority because electrical shock can cause cardiac arrhythmias, including life-threatening ones like ventricular fibrillation. Immediate monitoring of the heart's electrical activity is critical to assess the need for intervention.

C. Changing dressings is important for wound care, but it is not the priority action. The client’s immediate survival depends on monitoring and stabilizing the heart.

D. Administering pain medication is important for comfort but should not be the first priority. The focus should be on stabilizing the client and addressing any immediate life-threatening issues.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

Rationale:

The client is presenting with chest pain that radiates to the left arm, which is a critical symptom of a potential myocardial infarction (MI). Pain relief is the priority because it is a sign of acute distress and could indicate a life-threatening condition. Addressing the pain level first ensures that the client is more comfortable and allows for better monitoring of other symptoms.

After addressing pain, the nurse should then focus on the client's diaphoresis (excessive sweating), which is another sign of an acute myocardial event. Diaphoresis in the context of chest pain and shortness of breath is often associated with cardiovascular events and requires timely intervention. Managing these symptoms will help stabilize the client while further diagnostic and therapeutic measures are initiated.

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Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Exhibits Complete the following sentence by using the lists of options. The nurse should first address the client's dropdownfollowed by the client'sdropdown

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

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