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 C

Explanation

A. Oatmeal with honey, applesauce, and pear nectar. While oatmeal may be suitable for some

individuals with dysphagia, adding honey and pear nectar increases the risk of aspiration due to their liquid consistency. Applesauce may also pose a risk depending on the client's swallowing ability.
B. Pancakes with syrup, link sausage, and orange juice. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including pancakes with syrup and link sausage. Orange juice may also pose a risk of aspiration.
C. An oral nutritional supplement. Oral nutritional supplements are designed for individuals with dysphagia who have difficulty swallowing solid foods. They provide essential nutrients in a
liquid form that is easier to swallow and can help maintain adequate nutrition in clients with dysphagia.
D. Scrambled eggs, bacon, toast, milk, and coffee. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including scrambled eggs and toast. Milk and coffee may also pose a risk of aspiration.

A. Cashews. B. Yogurt. C. Asparagus. D. Chicken.

Correct Answer is C

Explanation

A. Cashews. While cashews are nutritious and contain various vitamins and minerals, they are not particularly high in folate, which is crucial for preventing neural tube defects.
B. Yogurt. Yogurt is a good source of calcium and protein but is not a significant source of folate.

C. Asparagus. Asparagus is rich in folate, a B-vitamin that is essential for the prevention of neural tube defects during pregnancy. It is one of the best food sources of folate.
D. Chicken. Chicken provides protein and other nutrients but is not a significant source of folate, making it less effective in preventing neural tube defects compared to folate-rich vegetables like asparagus.

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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

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