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 D
Explanation
A. Influenza – The first dose of the influenza vaccine is recommended at 6 months, not 2 months.
B. Hepatitis A – Hepatitis A vaccine is typically given at 12-23 months, not at 2 months.
C. Varicella – The varicella (chickenpox) vaccine is given at 12-15 months, so it is not appropriate for a 2-month-old.
D. Rotavirus – This is the correct answer. The rotavirus vaccine is recommended at 2 months, 4 months, and possibly 6 months, depending on the vaccine brand used.
Correct Answer is C
Explanation
A. Warm skin – Hypoglycemia typically presents with cool, clammy skin due to vasoconstriction, not warm skin.
B. Tachypnea – Tachypnea is a sign of diabetic ketoacidosis (DKA), which occurs with hyperglycemia, not hypoglycemia.
C. Nervousness – This is the correct answer because hypoglycemia triggers the release of epinephrine, leading to symptoms such as nervousness, tremors, sweating, and palpitations.
D. Ketonuria – Ketonuria is associated with DKA, which occurs in severe hyperglycemia, not hypoglycemia.
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