a nurse is caring for a client with a major burn injury and is receiving tpn which of the following lab tests is the priority for the nurse to use to
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Nursing Elites

ATI RN

ATI Nutrition 2024 NGN Exam

1. A nurse is caring for a client with a major burn injury and is receiving TPN. Which of the following lab tests is the priority for the nurse to use to confirm the client is receiving adequate nutrition?

Correct answer: D

Rationale: Prealbumin is a sensitive indicator of protein status and nutrition, making it a priority for assessing nutritional adequacy in clients receiving TPN.

2. A nurse is preparing to teach a group of clients about vitamins and minerals. The nurse should include in the teaching that which of the following minerals is necessary for the transmission of nerve impulses?

Correct answer: B

Rationale: Corrected Rationale: Calcium is essential for nerve transmission, muscle contraction, and blood clotting. It is a crucial mineral that plays a vital role in the proper functioning of the nervous system. Phosphorus is important for bone health and energy production but is not directly involved in nerve impulse transmission. Chloride is an electrolyte that helps maintain fluid balance but is not primarily responsible for nerve impulse transmission. Zinc is essential for immune function, wound healing, and DNA synthesis but is not directly related to nerve impulse transmission.

3. A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize that which of the following medications places the client at risk for wound dehiscence?

Correct answer: C

Rationale: Prednisone is a corticosteroid that can impair wound healing and increase the risk of wound dehiscence.

4. A nurse is providing nutritional education to a client who is obese. The nurse should include in the information that which of the following gastrointestinal disorders is commonly associated with obesity?

Correct answer: B

Rationale: Gastroesophageal reflux disease (GERD) is commonly associated with obesity due to increased abdominal pressure and other factors.

5. A nurse is assessing a client who reports muscle spasms in his calves and tingling in his hands. The client indicates consuming a low intake of milk products and green leafy vegetables. The nurse should identify that the client's findings indicate a deficiency in which of the following sources of nutrition?

Correct answer: D

Rationale: Calcium deficiency is indicated by muscle spasms and tingling, and is common with low intake of milk products and green leafy vegetables.

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