Nokea
The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN?
- A. Hemoglobin
- B. Creatinine
- C. Blood glucose
- D. White blood cell count
Correct Answer: C
Rationale: TPN's high dextrose content requires glucose monitoring to prevent hyperglycemia.
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A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid:
- A. Calcium-rich foods
- B. Canned or frozen vegetables
- C. Processed meat
- D. Raw fruits and vegetables
Correct Answer: D
Rationale: Raw fruits and vegetables may harbor pathogens, increasing infection risk in immunocompromised clients with HIV.
The primary cause of anemia in a client with chronic renal failure is:
- A. Poor iron absorption
- B. Destruction of red blood cells
- C. Lack of intrinsic factor
- D. Insufficient erythropoietin
Correct Answer: D
Rationale: Chronic renal failure reduces erythropoietin production by the kidneys, leading to decreased red blood cell production and anemia.
The nurse is performing fluid resuscitation on a burn client. Which piece of assessment data is the best indicator that it is effective?
- A. Respirations 24, unlabored
- B. Urine output of 30 mL/hr
- C. Capillary refill <4 seconds
- D. Apical pulse of 110/min
Correct Answer: B
Rationale: Urine output of 30-50 mL/hr is the best indicator of adequate fluid resuscitation in burn clients, reflecting sufficient renal perfusion and fluid balance.
The nurse is aware that African-Americans are at higher risk than Caucasians for which of the following conditions? Select all that apply.
- A. Hypertension.
- B. Diabetes mellitus.
- C. Asthma.
- D. Skin cancer.
- E. Osteoporosis.
Correct Answer: A,B
Rationale: African-Americans have a higher risk for hypertension (A) and diabetes mellitus (B) compared to Caucasians due to genetic and socioeconomic factors. Asthma (C) risk is similar across groups, while skin cancer (D) and osteoporosis (E) are less prevalent in African-Americans.
The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?
- A. A tracheotomy set
- B. A padded tongue blade
- C. An endotracheal tube
- D. An airway
Correct Answer: A
Rationale: A tracheotomy set is kept at the bedside post-thyroidectomy due to the risk of airway obstruction from swelling or hematoma.