A nurse is planning care for a client who has anorexia and has manifestations of malnutrition. When reviewing the client's laboratory values. which of the following test results should the nurse expect to be low?

Troponin

Albumin

D-dimer

Creatinine

Answer and Explanation

The Correct Answer is B

A. Troponin:
Troponin is a protein found in the heart muscle. Elevated levels of troponin in the blood indicate damage to the heart, often due to a heart attack or other cardiac issues. This marker is crucial in diagnosing heart-related problems.

B. Albumin:
Albumin is a protein produced by the liver and is essential for maintaining blood volume and regulating fluid balance. It also helps transport various substances in the blood. Low levels of albumin are indicative of malnutrition, liver disease, or kidney disorders.

C. D-dimer:
D-dimer is a substance in the blood that is released when a blood clot breaks up. Elevated levels of D-dimer can indicate the presence of an abnormal blood clot, but it is not specific to malnutrition. It is often used in diagnosing conditions like deep vein thrombosis (DVT) or pulmonary embolism (PE).

D. Creatinine:
Creatinine is a waste product produced by the muscles and excreted by the kidneys. Creatinine levels in the blood can indicate how well the kidneys are functioning. Elevated levels can suggest kidney damage or other kidney-related issues but are not directly related to malnutrition.

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Correct Answer is A

Explanation

A. Take this medication between meals.
Iron supplements like ferrous gluconate are absorbed better on an empty stomach. Taking them between meals or one hour before meals, with a glass of orange juice (which contains vitamin C and enhances iron absorption), helps improve absorption.

B. Limit intake of Vitamin C while taking this medication.
This is incorrect. Vitamin C enhances iron absorption and is often recommended to be taken with iron supplements.

C. Take this medication with milk.
Taking iron supplements with milk is not recommended because calcium in milk can interfere with iron absorption.

D. Limit intake of whole grains while taking this medication.
Whole grains contain phytates, which can inhibit iron absorption. Therefore, it's a good idea to avoid consuming large amounts of whole grains with iron supplements.

A. Thirty minutes before breakfast and the evening meal B. One hour before breakfast and the evening meal C. At the time the client takes an antacid D. At the time the client takes a proton-pump inhibitor

Correct Answer is A

Explanation

A. Thirty minutes before breakfast and the evening meal: This is the correct option. Sucralfate is typically administered 30 minutes before meals or on an empty stomach to allow it to form a protective coating over ulcers without interference from food.

B. One hour before breakfast and the evening meal: This choice is not typical for sucralfate administration. Waiting for a whole hour before meals might cause the patient to miss the window where the medication is most effective.

C. At the time the client takes an antacid: Administering sucralfate simultaneously with an antacid is not recommended because antacids can interfere with its effectiveness by neutralizing the stomach acid needed to activate sucralfate.

D. At the time the client takes a proton-pump inhibitor: Sucralfate should not be administered simultaneously with proton-pump inhibitors. Proton-pump inhibitors reduce stomach acid, which is needed to activate sucralfate.

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A nurse is planning care for a client who has anorexia and has manifestations of malnutrition. When reviewing the client's laboratory values. which of the following test results should the nurse expect to be low?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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