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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Taco salad, refried beans, low-fat ice cream, and coffee. This meal may contain high levels of sodium, particularly in the taco salad and refried beans, which could exacerbate the client's
elevated serum sodium level.

B. Canned cream of mushroom soup, tuna salad, and water. This meal likely has a lower sodium content compared to the other options, as long as the canned cream of mushroom soup is chosen with a low-sodium option. Tuna salad can be prepared with low-sodium ingredients, and water is sodium-free.
C. Chicken salad on toast, fruit-flavored yogurt, and iced tea. Chicken salad and fruit-flavored yogurt can contain hidden sources of sodium, especially if they are commercially prepared or contain added sauces or flavorings. Iced tea may also contain sodium, depending on how it is prepared.
D. Bacon, lettuce, and tomato sandwich, grapes, and skim milk. Bacon is typically high in sodium, which would not be advisable for someone with elevated serum sodium levels. Skim milk and grapes are generally low in sodium, but the sandwich could significantly contribute to the client's sodium intake.

A. Alcohol (ethanol), orange juice, seeds. B. Spinach, kale, collard greens. C. Milk, ice cream, buttermilk. D. Beans, brown rice, apricots. E. Salted nuts, corn, oranges.

Correct Answer is ["B","D"]

Explanation

A. Alcohol (ethanol), orange juice, seeds. Alcohol should be avoided, but orange juice is high in vitamin C, which can enhance iron absorption. However, seeds are not a significant source of
iron.

B. Spinach, kale, collard greens. These dark leafy greens are rich in non-heme iron, which is beneficial for someone with iron-deficiency anemia.

C. Milk, ice cream, buttermilk. These dairy products contain little to no iron and can actually inhibit iron absorption due to their calcium content.

D. Beans, brown rice, apricots. Beans are a good source of iron, brown rice provides some iron, and apricots are also a good source of iron, making these foods beneficial for iron-deficiency anemia.
E. Salted nuts, corn, oranges. Salted nuts and corn are not particularly high in iron, although oranges are good for vitamin C, which helps with iron absorption. However, the focus should be on iron-rich foods directly.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

Correct Answer is B

Explanation

When conducting diet teaching for a client who was diagnosed with iron-deficiency anemia, which food(s) should the nurse encourage the client to eat? Select all that apply.

Correct Answer is ["B","D"]

Explanation

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