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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Anticholinesterase medications, such as pyridostigmine, are commonly prescribed for myasthenia gravis. They should be taken as prescribed by the healthcare provider, usually on an empty stomach, to optimize absorption.
B. Positioning the head of the client's bed to 40° while eating helps prevent aspiration and choking by facilitating swallowing in clients with myasthenia gravis.
C. Providing the client with food cut into small bites can make swallowing easier but does not address the risk of aspiration associated with myasthenia gravis.
D. Encouraging the client to lie down after eating increases the risk of aspiration and should be avoided in clients with myasthenia gravis.
Correct Answer is C
Explanation
A. Raw celery and tomatoes are not recommended in the early postoperative period following gastric bypass surgery due to their high fiber content, which may be difficult to tolerate.
B. Drinking at least 100 ounces of fluids per day may be excessive and can increase the risk of complications such as dumping syndrome in the early postoperative period following gastric bypass surgery. Fluid intake should be carefully monitored and follow the healthcare provider's recommendations.
C. Consuming liquids or pureed foods in the early postoperative period following gastric bypass surgery allows the gastrointestinal tract time to heal and adjust to the changes from the surgery. This statement indicates an understanding of the appropriate dietary progression after surgery.
D. The amount of protein intake may vary depending on individual factors and should be guided by the healthcare provider's recommendations. However, focusing solely on protein intake does not address the need for a gradual dietary progression in the early postoperative period.
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