A nurse is caring for an older adult client who is experiencing chronic anorexia and is receiving enteral tube feedings. Which of the following laboratory values indicates the client needs additional nutrients added to the feeding?

Triglycerides 100 mg/dL (35 to 135 mg/dL)

Albumin 2.8 g/dL (3.5 to 5.0 g/dL)

Creatinine 1.1 mg/dL (0.5 to 1.3 mg/dL)

Alkaline phosphatase 118 units/L (30 to 120 units/L)

Answer and Explanation

The Correct Answer is B

A. Triglycerides within the normal range do not indicate a need for additional nutrients.

B. A low albumin level of 2.8 g/dL indicates poor protein status and may suggest that the client requires additional protein in their enteral feeding to help with healing and overall nutrition.

C. A creatinine level of 1.1 mg/dL is within normal limits and does not indicate a need for additional nutrients.

D. Alkaline phosphatase at 118 units/L is within the normal range and does not suggest a deficiency requiring additional nutrients.

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Correct Answer is D

Explanation

A. Early decelerations are typically benign and often associated with head compression, not necessitating an emergency cesarean birth.

B. A knee-chest position is generally used for variable decelerations but is not indicated for early decelerations.

C. Continuous internal monitoring may be necessary in certain situations, but in the case of early decelerations, it is not an immediate intervention.

D. Early decelerations usually require continued monitoring without immediate intervention as they typically resolve spontaneously with contractions.

A. Offer the toddler flavored gelatin. B. Initiate oral rehydration therapy for the toddler. C. Include chicken broth in the toddler's diet. D. Feed the toddler the BRAT diet.

Correct Answer is B

Explanation

A. Offering flavored gelatin can provide some hydration, but it does not provide sufficient electrolytes necessary for rehydration in gastroenteritis.

B. Initiating oral rehydration therapy for the toddler is essential in treating dehydration caused by infectious gastroenteritis. Oral rehydration solutions contain the right balance of electrolytes and fluids to replenish losses.

C. While chicken broth may provide some fluid and salt, it is not as effective as a specific oral rehydration solution tailored for children with gastroenteritis.

D. The BRAT diet (bananas, rice, applesauce, and toast) is no longer recommended as the primary diet for children with gastroenteritis, as it does not provide adequate nutrition or electrolytes.

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A nurse is caring for an older adult client who is experiencing chronic anorexia and is receiving enteral tube feedings. Which of the following laboratory values indicates the client needs additional nutrients added to the feeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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