Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Hemoglobin 16 g/dL
Hemoglobin 16 g/dL is within the normal range for adults and does not indicate an adverse effect of TPN.
B. Temperature 36.1°C (97°F)
Temperature 36.1°C (97°F) is normal and does not indicate an infection or inflammation, which are possible complications of TPN.
C. Blood glucose 98 mg/dL
Blood glucose 98 mg/dL is normal and does not indicate hyperglycemia or hypoglycemia, which are common problems associated with TPN.
D. Weight gain of 1.5 kg (3 lB. per day
Weight gain of 1.5 kg (3 lB. per day is excessive and indicates fluid overload, which can result from too rapid or too high infusion of TPN. Fluid overload can cause edema, hypertension, heart failure, and pulmonary congestion.
This question is an excerpt from Nurse Dive's nursing test bank - RN Nutrition 2019 Nexy Updated 2023 Proctored Exam. Take the full exam now
Full Explanation
Choice A reason: Hemoglobin 16 g/dL is within the normal range for adults and does not indicate an adverse effect of TPN.
Choice B reason: Temperature 36.1°C (97°F) is normal and does not indicate an infection or inflammation, which are possible complications of TPN.
Choice C reason: Blood glucose 98 mg/dL is normal and does not indicate hyperglycemia or hypoglycemia, which are common problems associated with TPN.
Choice D reason: Weight gain of 1.5 kg (3 lB. per day is excessive and indicates fluid overload, which can result from too rapid or too high infusion of TPN. Fluid overload can cause edema, hypertension, heart failure, and pulmonary congestion.
Similar Questions
Anune is assessing a client who is receiving total parenteral nutrition (TPN). The nurse should identify which of the following findings as an adverse effect of TPN?
A. Hemoglobin 16 g/dL
Hemoglobin 16 g/dL is within the normal range for adults and does not indicate an adverse effect of TPN.
B. Temperature 36.1°C (97°F)
Temperature 36.1°C (97°F) is normal and does not indicate an infection or inflammation, which are possible complications of TPN.
C. Blood glucose 98 mg/dL
Blood glucose 98 mg/dL is normal and does not indicate hyperglycemia or hypoglycemia, which are common problems associated with TPN.
D. Weight gain of 1.5 kg (3 lB. per day
Weight gain of 1.5 kg (3 lB. per day is excessive and indicates fluid overload, which can result from too rapid or too high infusion of TPN. Fluid overload can cause edema, hypertension, heart failure, and pulmonary congestion.
Full Explanation
Choice A reason: Hemoglobin 16 g/dL is within the normal range for adults and does not indicate an adverse effect of TPN.
Choice B reason: Temperature 36.1°C (97°F) is normal and does not indicate an infection or inflammation, which are possible complications of TPN.
Choice C reason: Blood glucose 98 mg/dL is normal and does not indicate hyperglycemia or hypoglycemia, which are common problems associated with TPN.
Choice D reason: Weight gain of 1.5 kg (3 lB. per day is excessive and indicates fluid overload, which can result from too rapid or too high infusion of TPN. Fluid overload can cause edema, hypertension, heart failure, and pulmonary congestion.
A nurse is providing dietary teaching to a client about sources of protein. The nurse should identify which of the following foods are complete proteins?
A. Gelatin
Gelatin is an incomplete protein, meaning it does not contain all nine essential amino acids that the body cannot synthesize.
B. Legumes
Legumes are incomplete proteins, but they can be combined with grains, nuts, seeds, or dairy products to form complete proteins.
C. Almonds
Almonds are incomplete proteins, but they can be combined with other foods to form complete proteins.
D. Salmon
Salmon is a complete protein, meaning it contains all nine essential amino acids that the body needs.
Full Explanation
Choice A reason: Gelatin is an incomplete protein, meaning it does not contain all nine essential amino acids that the body cannot synthesize.
Choice B reason: Legumes are incomplete proteins, but they can be combined with grains, nuts, seeds, or dairy products to form complete proteins.
Choice C reason: Almonds are incomplete proteins, but they can be combined with other foods to form complete proteins.
Choice D reason: Salmon is a complete protein, meaning it contains all nine essential amino acids that the body needs.
A nurse is assisting in the selection of food for a client who has hyperkalemia. Which of the following foods should the nurse avoid selecting as it contains the greatest amount of potassium?
A. 1 cup of brown rice
1 cup of brown rice contains about 84 mg of potassium, which is low compared to other foods.
B. One medium raw tomato
One medium raw tomato contains about 292 mg of potassium, which is moderate compared to other foods.
C. 1 oz of cheddar cheese
1 oz of cheddar cheese contains about 28 mg of potassium, which is very low compared to other foods.
D. One small baked potato
One small baked potato contains about 738 mg of potassium, which is very high compared to other foods. Potassium is important for nerve and muscle function, but too much can cause irregular heartbeat, muscle weakness, and nausea.
Full Explanation
Choice A reason: 1 cup of brown rice contains about 84 mg of potassium, which is low compared to other foods.
Choice B reason: One medium raw tomato contains about 292 mg of potassium, which is moderate compared to other foods.
Choice C reason: 1 oz of cheddar cheese contains about 28 mg of potassium, which is very low compared to other foods.
Choice D reason: One small baked potato contains about 738 mg of potassium, which is very high compared to other foods. Potassium is important for nerve and muscle function, but too much can cause irregular heartbeat, muscle weakness, and nausea.