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 A

Explanation

A. Fruits and vegetables. Snacking on fruits and vegetables provides fiber, vitamins, and

minerals while being lower in calories, making them suitable choices for an adolescent with a high BMI who may be looking to manage their weight.
B. Complete proteins. While complete proteins are important for overall nutrition, they may not be the best choice for after-school snacks, especially if the client is trying to manage their
weight, as they can be higher in calories.

C. Calcium-rich dairy products. While dairy products are important for calcium intake, they can also be higher in calories and fat. Depending on the client's overall dietary intake, they may not be the best choice for snacks if weight management is a concern.
D. High potassium foods. While potassium-rich foods are important for overall health, they may not be the best choice for after-school snacks specifically. Focusing on lower-calorie, nutrient- dense options like fruits and vegetables is more appropriate for an adolescent with a high BMI who may be trying to manage their weight.

A. Taco salad, refried beans, low-fat ice cream, and coffee. B. Canned cream of mushroom soup, tuna salad, and water. C. Chicken salad on toast, fruit-flavored yogurt, and iced tea. D. Bacon, lettuce, and tomato sandwich, grapes, and skim milk.

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.

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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

The nurse is preparing a teaching plan for an adolescent whose body mass index (BMI) is 35. Which foods are best for the client to select for after school snacks?

Correct Answer is A

Explanation

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

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