A nurse is reviewing the laboratory results of a female client who has liver dysfunction a receiving a continuous tube feeding. Which of the findings should the nurse identify as a protein deficiency?

Albumin 3.1 g/dL (3.5 to 5.0 g/dL)

Transferrin 400 mg/dL (250 to 380 mg/dL)

Uric acid 2.3 mg/dL (2.7 to 7.3 mg/dL)

Total iron-binding capacity 488 mcg/dL (250 to 460 mcg/dL)

Answer and Explanation

The Correct Answer is A

A. Albumin 3.1 g/dL (3.5 to 5.0 g/dL)

Albumin is a protein produced by the liver, and its levels are commonly used as an indicator of nutritional status, particularly protein status. In clients with liver dysfunction and receiving continuous tube feeding, a low albumin level indicates protein deficiency. Albumin plays a crucial role in maintaining oncotic pressure in the blood vessels, and decreased levels can lead to fluid shifts and edema, among other complications.

B. Transferrin 400 mg/dL (250 to 380 mg/dL):

Transferrin is a protein involved in iron transport. While high transferrin levels may indicate iron deficiency, they do not directly reflect protein deficiency.

C. Uric acid 2.3 mg/dL (2.7 to 7.3 mg/dL):

Uric acid is a waste product of metabolism. Low uric acid levels are not indicative of protein deficiency; instead, they may be seen in conditions such as liver dysfunction or decreased production of uric acid.

D. Total iron-binding capacity 488 mcg/dL (250 to 460 mcg/dL):

Total iron-binding capacity measures the amount of iron that can be bound by transferrin. Elevated total iron-binding capacity may indicate iron deficiency, but it does not directly reflect protein deficiency.

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Correct Answer is D

Explanation

A. Hypertension in a parent: While a family history of hypertension may increase the risk of developing high blood pressure, it is considered a non-modifiable risk factor because individuals cannot change their genetic predisposition. However, individuals can take steps to manage hypertension through lifestyle modifications and medication.

B. Cultural beliefs: Cultural beliefs may influence health behaviors and attitudes toward health care, but they are not directly modifiable risk factors for heart disease. However, healthcare providers can work with individuals to address cultural barriers and develop culturally sensitive strategies for promoting heart-healthy behaviors.

C. Air quality: Environmental factors such as air pollution can contribute to cardiovascular disease risk, but air quality is not a modifiable risk factor for individuals on an individual level. However, efforts to improve air quality through environmental policies and regulations can help reduce population-level risk of heart disease.

D. Physical inactivity

Modifiable risk factors are those that can be changed or controlled to reduce the risk of developing a particular health condition. Physical inactivity is a modifiable risk factor because individuals can make lifestyle changes to increase their level of physical activity, which can help lower their risk of heart disease. Regular exercise has been shown to improve cardiovascular health by strengthening the heart, reducing blood pressure, improving cholesterol levels, and maintaining a healthy weight.

A. Place wet towels along the base of the door. B. Turn off any electrical equipment. C. Activate the facility's fire alarm. D. Direct a fire extinguisher at the fire.

Correct Answer is C

Explanation

A. Placing wet towels along the base of the door: While this action may help prevent smoke from entering or exiting the room, it is not the immediate priority. Activating the fire alarm takes precedence to alert others to the fire and initiate the appropriate response.

B. Turning off any electrical equipment: While turning off electrical equipment can reduce the risk of electrical fires, it is not the immediate priority. Activating the fire alarm is the first step to ensure the safety of everyone in the facility.

C. Activate the facility's fire alarm.

Activating the fire alarm is crucial because it immediately alerts others in the facility to the presence of a fire, enabling them to respond appropriately. This action initiates the facility's fire safety protocols, including evacuating the area and summoning professional assistance to extinguish the fire. The sooner the alarm is activated, the quicker the response can be, reducing the risk to individuals and property.

D. Directing a fire extinguisher at the fire: While using a fire extinguisher may be necessary to extinguish the fire, it should only be done after activating the fire alarm to ensure that emergency personnel are alerted and responding to the situation.

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A nurse is reviewing the laboratory results of a female client who has liver dysfunction a receiving a continuous tube feeding. Which of the findings should the nurse identify as a protein deficiency?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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