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 D

Explanation

A. Lettuce is not known for being high in potassium; it is mostly water and fiber.

B. Grapes contain potassium, but not as much as some other fruits and vegetables.

C. Apple slices do contain potassium, but they are not the richest source among the options provided.
D. Cooked tomatoes are an excellent source of potassium, with one cup providing a significant amount of the mineral necessary to help correct hypokalemia.

A. "Add butter to vegetables." B. "Avoid desserts made with eggs." C. Increase fluid intake with meals." D. "Prepare hot chocolate with water instead of milk."

Correct Answer is C

Explanation

A. Adding butter to vegetables would increase the calorie content without necessarily providing significant nutritional benefits for someone with wasting syndrome.
B. Avoiding desserts made with eggs may limit protein intake, which is important for individuals with wasting syndrome who may be experiencing muscle wasting.

C. Increasing fluid intake with meals can help prevent dehydration, which is important for individuals with AIDS-related wasting syndrome, as dehydration can exacerbate symptoms and contribute to further weight loss.
D. Preparing hot chocolate with water instead of milk may decrease calorie and fat intake, but it does not address the need for adequate hydration, which is crucial for individuals with wasting syndrome.

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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

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching about food choices to a client who has hypokalemia. Which of the following foods should the nurse identify as the best source of potassium?

Correct Answer is D

Explanation

A nurse is providing nutritional teaching to a client who has AIDS-related wasting syndrome. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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