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 ["539"]

Explanation

6 ounces of apple juice = 177 mL (1 ounce = 29.57 mL)
1 cup of water = 240 mL (1 cup = 240 mL)
1 cup of soup = 240 mL
6 ounces of tea = 177 mL
12 ounces of carbonated beverage = 355 mL

Total intake: 177 + 240 + 240 + 177 + 355 = 1189 mL

Total output:

Voided at 0830 = 250 mL
Vomitus at 1300 = 150 mL
Voided at 1400 = 250 mL

Total output: 250 + 150 + 250 = 650 mL

Fluid balance: Total intake - Total output = 1189 - 650 = 539 mL

Therefore, the client's current fluid balance is 539 mL.

A. Recommend an increase in caloric intake to avoid excessive weight loss. B. Reassure the parents that increased physical activity reduces the risk for diabetes. C. Suggest a less strenuous activity to reduce the risk for dehydration. D. Instruct the family about the need to adjust the insulin dose before exercise.

Correct Answer is B

Explanation

A. Recommend an increase in caloric intake to avoid excessive weight loss. While regular physical activity can increase caloric expenditure, it is not typically associated with excessive weight loss, especially in children. Prediabetes management focuses on lifestyle changes such as increased physical activity and healthy eating habits rather than increasing caloric intake.
B. Reassure the parents that increased physical activity reduces the risk for diabetes. Regular physical activity is beneficial for individuals with prediabetes as it improves insulin sensitivity, helps control weight, and reduces the risk of developing type 2 diabetes.
C. Suggest a less strenuous activity to reduce the risk for dehydration. Soccer can be a physically demanding sport, but proper hydration practices can help prevent dehydration. Encouraging the child to drink plenty of fluids before, during, and after soccer practice or games can help
maintain hydration levels.

D. Instruct the family about the need to adjust the insulin dose before exercise. Prediabetes typically does not require insulin therapy. However, if the child progresses to diabetes and requires insulin, adjustments to insulin doses may be necessary to prevent hypoglycemia during exercise, but this is not relevant to the current scenario.

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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

Correct Answer is ["539"]

Explanation

The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which information is best for the nurse to offer the parents?

Correct Answer is B

Explanation

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