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 A

Explanation

A. Pork and its by-products, such as ham, are prohibited in strict halal dietary guidelines.
B. Lentils are permissible in halal dietary guidelines and can be included in the client's meal.
C. Fish is generally permissible in halal dietary guidelines, so baked fish with rice is an acceptable option.
D. Beef is permissible in halal dietary guidelines, but the gravy should be checked to ensure it does not contain any non-halal ingredients.

A. Recommend a total fiber intake of 12 g each day. B. Advise the client to add 500 calories per day to the diet. C. Encourage the client to continue current daily caloric intake. D. Refer the client to a weight-loss support group.

Correct Answer is D

Explanation

Choice A: The recommended daily fiber intake for adults is generally higher than 12 grams. For a balanced diet, women should consume between 22 and 28 grams of fiber per day, and men should consume between 28 and 34 grams per day, depending on their age.

Choice B: Adding 500 calories per day to the diet is typically advised for weight gain, not weight loss. For weight loss, a caloric deficit is usually required, which can be achieved by consuming fewer calories or increasing physical activity.

Choice C: Continuing the current daily caloric intake would not be beneficial if the client's goal is to change their body mass index, especially if their current intake is maintaining a BMI of 28, which is classified as overweight.

Choice D: Referring the client to a weight-loss support group can provide them with emotional support, motivation, and accountability, which are important factors for long-term weight loss success. Support groups can also offer practical advice and a sense of community, which can enhance the weight loss journey.

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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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