While caring for a client receiving total parenteral nutrition (TPN), it is most important for the nurse to monitor which of the client's lab values?
Serum protein.
Serum osmolarity.
Urinary ketones.
Capillary glucose.
The Correct Answer is D
A. Serum protein is an indicator of the client’s overall nutritional status, but it is not as immediately critical to monitor as glucose levels in clients receiving TPN. Protein levels change more slowly over time and are not an acute concern.
B. While serum osmolarity is important in evaluating hydration status and electrolyte balance, it is not the primary lab to monitor during TPN administration. Glucose fluctuations are more likely to cause immediate complications.
C. Urinary ketones are typically monitored in clients with diabetic ketoacidosis (DKA), not in clients receiving TPN. Ketones are a byproduct of fat metabolism and are not a priority in TPN management.
D. Capillary glucose is the most important lab to monitor in clients on TPN because TPN solutions contain high amounts of glucose, which can lead to hyperglycemia. Monitoring glucose levels helps prevent complications such as hyperglycemia or hypoglycemia and is critical in managing the client's metabolic response to TPN.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["6"]
Explanation
To determine the volume of amoxicillin-clavulanic acid suspension to administer in a single dose, you can use the following calculation:
Dose prescribed: 300 mg Concentration available: 250 mg/5 mL
First, calculate the dose per mL:
Dose per mL = Concentration available (mg/mL) Dose per mL = 250 mg/5 mL
Dose per mL = 50 mg/mL
Now, calculate the mL needed for the prescribed dose:
Volume (mL) = Dose prescribed (mg) / Dose per mL Volume (mL) = 300 mg / 50 mg/mL
Volume (mL) = 6 mL
Therefore, the nurse should administer 6 mL of amoxicillin-clavulanic acid suspension in a single dose.
Correct Answer is A
Explanation
Choice A: The client's statement reflects an understanding of the DASH diet's emphasis on lean meats, nuts, and dried beans as protein sources, which aligns with the principles of the diet.
Choice B: The DASH diet encourages the consumption of more than 4 to 6 servings of fruits and vegetables daily.
Choice C: The DASH diet does not eliminate dairy-based products but recommends choosing low-fat or fat-free options.
Choice D: The DASH diet does not focus on gluten-free foods but rather on overall dietary patterns that promote heart-healthy eating.
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