While caring for a client receiving total parenteral nutrition (TPN), it is most important for the nurse to monitor which of the client's laboratory values?
Urinary ketones.
Serum protein.
Serum osmolarity.
Capillary glucose.
The Correct Answer is D
A. Urinary ketones are incorrect. Urinary ketones are more relevant in clients with diabetes or starvation states, but monitoring capillary glucose is more important in clients on TPN, as they may experience fluctuations in blood sugar levels.
B. Serum protein is incorrect. While serum protein is important for assessing nutritional status, capillary glucose is more critical for monitoring during TPN administration.
C. Serum osmolarity is incorrect. Serum osmolarity is important to assess fluid and electrolyte balance, but capillary glucose is more frequently monitored due to the risk of hyperglycemia in TPN patients.
D. Capillary glucose is correct. TPN contains high levels of glucose, and monitoring capillary glucose is critical to detect hyperglycemia and adjust the infusion rate or insulin therapy accordingly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Clients who are between the ages of 19 and 64-years-old. While adults in this age range do need to maintain good hydration, their water needs are not as increased as those of lactating mothers.
B. Older adult clients who are receiving dialysis twice a week. These clients typically have fluid restrictions to manage fluid balance and prevent complications related to dialysis and kidney function.
C. Adolescent females who are menstruating. Although menstruating females do need to stay hydrated, their water requirements are not as high as those of lactating mothers.
D. Lactating mothers who are breastfeeding. Breastfeeding mothers require significantly more water to support milk production. Increased fluid intake is necessary to replace the fluids lost through breastfeeding and ensure both the mother's and the baby's hydration needs are met.
Correct Answer is D
Explanation
A. Nausea. While nausea can affect appetite and food intake, it is not specifically linked to periodontitis. It is more commonly associated with gastrointestinal issues or other systemic conditions.
B. Altered taste sensation. Altered taste can impact food intake, but it is not a primary issue in periodontitis. Periodontitis primarily affects the gums and supporting structures of the teeth.
C. Fatigue. Fatigue can reduce overall energy levels and appetite, but it is not directly related to the localized effects of periodontitis.
D. Pain when eating. Periodontitis causes inflammation and pain in the gums, which can make eating difficult and uncomfortable. This pain is the most direct and relevant reason for
inadequate nutritional intake in a client with periodontitis.
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