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 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.

A. Check the blood product's compatibility with the client's blood type. B. Prime the client's primary IV tubing with lactated Ringer's. C. Check that the client has a small gauge IV catheter in place. D. Confirm the identity of the client with the blood bank technician.

Correct Answer is A

Explanation

A. Check the blood product's compatibility with the client's blood type: Before administering packed red blood cells (RBCs) or any blood product, it is crucial to ensure that the blood product matches the client's blood type and is compatible. This is done to prevent transfusion reactions and ensure safe administration.

B. Prime the client's primary IV tubing with lactated Ringer's: While it is important to prime the IV tubing with an appropriate solution before starting the transfusion, this action does not directly indicate prior to the start of the infusion.

C. Check that the client has a small gauge IV catheter in place: Having an appropriate size and functioning IV catheter in place is important for administering blood products, but this action does not specifically indicate prior to the start of the infusion.

D. Confirm the identity of the client with the blood bank technician: Confirming the client's identity is an essential step in ensuring that the correct blood product is administered to the correct client. However, this action is typically done before the blood product is prepared and delivered to the client's location, rather than immediately before starting the infusion.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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