A nurse is reviewing a client's laboratory results for effectiveness of total parenteral nutrition (TPN). Which of the following laboratory values is the best indicator for the nurse to monitor for short-term effectiveness of the TPN?

Hemoglobin

Transferrin

Prealbumin

Total albumin

Answer and Explanation

The Correct Answer is C

A.   Hemoglobin levels primarily reflect the oxygen-carrying capacity of red blood cells and are not specific to nutritional status.
B.   Transferrin levels reflect iron-binding capacity and may be influenced by factors other than nutrition.
C.   Prealbumin levels have a shorter half-life compared to total albumin and can provide a more immediate assessment of nutritional status and the effectiveness of TPN in the short term.
D.   Total albumin levels reflect longer-term protein status and may not change significantly in the short term with TPN administration.

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Correct Answer is B

Explanation

A. Using a syringe to give the client fluids is not directly related to preventing aspiration during mealtime.
B. Tilt the client's head forward when swallowing helps to facilitate the movement of food down the esophagus and reduces the risk of aspiration by preventing food from entering the trachea.
C. Scheduling physical therapy directly before mealtime may increase the risk of aspiration due to potential fatigue or increased weakness during meal consumption.
D. Encouraging the client to complete the meal within 15 minutes may lead to rushed eating, increasing the risk of aspiration. It's more important to focus on safe swallowing techniques and taking adequate time to eat slowly.

A. "Your biggest meal of the day should be breakfast." B. "Set your weight loss goal to 2.5 pounds per week." C. "Meal replacement shakes can cause weight gain." D. "Make sure to drink water with your meals."

Correct Answer is A

Explanation

A. Eating a larger meal at breakfast and smaller meals throughout the day can help regulate appetite, reduce overall caloric intake, and promote weight loss.
B. Setting a weight loss goal of 2.5 pounds per week may be unrealistic or unsafe for some individuals. A more moderate and sustainable goal, such as 1-2 pounds per week, is typically recommended.
C. Meal replacement shakes can be a convenient option for some individuals as part of a weight loss plan, but they do not inherently cause weight gain. However, it's important to choose meal replacements with appropriate nutritional content and to use them as part of a balanced diet.
D. Drinking water with meals can help promote satiety and may prevent overeating, but it is not the only behavioral modification necessary for successful weight loss.

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A nurse is reviewing a client's laboratory results for effectiveness of total parenteral nutrition (TPN). Which of the following laboratory values is the best indicator for the nurse to monitor for short-term effectiveness of the TPN?

Nursing Test Bank

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Explanation

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Correct Answer is A

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