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. Lying down after meals increases reflux by allowing stomach contents to flow back into the esophagus.
B. High-fat foods delay gastric emptying, worsening heartburn.
C. Carbonated beverages may help neutralize stomach acid and provide symptom relief when sipped in moderation.
D. Hot herbal tea can relax the lower esophageal sphincter, exacerbating reflux.
Correct Answer is B
Explanation
A. Calcium – Spironolactone does not significantly impact calcium levels, so avoiding calcium supplements is unnecessary.
B. Potassium – This is the correct answer. Spironolactone is a potassium-sparing diuretic, which can lead to hyperkalemia. Clients should avoid potassium supplements and potassium-rich foods to prevent dangerous elevations in serum potassium levels.
C. Iron – Spironolactone does not have a direct effect on iron metabolism, so iron supplementation is not contraindicated.
D. Magnesium – Although spironolactone does not have a strong impact on magnesium levels, excessive magnesium intake is not a primary concern with this medication.
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