A nurse is reviewing the results of laboratory tests a client had as part of a comprehensive nutritional assessment. Which of the following results should the nurse report to the provider?
Albumin 2.2 g/dL
Total cholesterol 179 mg/dL
Total thyroxine 9 mcg/dL
Calcium 9.9 mg/dL
The Correct Answer is A
A. An albumin level of 2.2 g/dL is critically low (normal: 3.5–5.0 g/dL), indicating severe malnutrition, liver disease, or nephrotic syndrome. This requires immediate reporting for further assessment and intervention.
B. A total cholesterol level of 179 mg/dL is within the normal range (desirable: <200 mg/dL) and does not require reporting.
C. A total thyroxine (T4) level of 9 mcg/dL is within the normal range (4.6–11.2 mcg/dL) and does not indicate a nutritional issue.
D. A calcium level of 9.9 mg/dL is normal (8.5–10.5 mg/dL) and does not require immediate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Protective environment – Incorrect. Protective environment precautions are for immunocompromised clients (e.g., those with neutropenia).
B. Airborne – Incorrect. Airborne precautions are used for tuberculosis, measles, and varicella, not bacterial meningitis.
C. Droplet – Correct. Bacterial meningitis is transmitted through large respiratory droplets, requiring droplet precautions (mask, gown, and gloves when within 3 feet of the client).
D. Contact – Incorrect. Contact precautions alone are insufficient for bacterial meningitis, which spreads via droplets.
Correct Answer is D
Explanation
A. Chvostek’s sign is associated with hypocalcemia, not lithium toxicity.
B. Lithium does not increase potassium levels; it may cause mild hyponatremia.
C. Lithium is more commonly associated with diarrhea, not constipation.
D. Lithium can cause nephrogenic diabetes insipidus, leading to increased urinary output.
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