Ch. 40 Lewis - Evolve NCLEX Practice Questions & Answers

Ch. 40 Lewis - Evolve NCLEX Practice Questions & Answers The nurse is reviewing the laboratory test results for a 71-year-old patient with metastatic lung cancer. The patient was admitted with a diagnosis of malnutrition. The serum albumin level is 4.0 g/dL, and prealbumin is 10 mg/dL. What should this indicate to the nurse? A. The albumin level is normal, and therefore the patient does not have protein malnutrition. B. The albumin level is increased, which is a common finding in patients with cancer who have malnutrition. C. Both the serum albumin and prealbumin levels are reduced, consistent with the admitting diagnosis of malnutrition. D. Although the serum albumin level is normal, the prealbumin level more accurately reflects the patient's nutritional status. - ANS ️️ D. Although the serum albumin level is normal, the prealbumin level more accurately reflects the patient's nutritional status. The nurse is caring for a patient admitted to the hospital for asthma who weighs 186 lb (84.5 kg). During dietary counseling, the patient asks the nurse how much protein he should ingest each day. How many grams of protein does the nurse recommend should be included in the diet based on the patient's current weight? A. 24 B. 41 C. 68 D. 93 - ANS ️️ C. 68 The nurse is providing care for a 23-year-old woman who is a strict vegetarian. To prevent the consequences of iron deficiency, what should the nurse recommend? A. Brown rice and kidney beans B. Cauliflower and egg substitutes C. Soybeans and hot breakfast cereal D. Whole-grain bread and citrus fruits - ANS ️️ C. Soybeans and hot breakfast cereal A patient who has dysphagia as a consequence of a stroke is receiving enteral feedings through a percutaneous endoscopic gastrostomy (PEG). What intervention should the nurse integrate into this patient's care? A. Flush the tube with 30 mL of normal saline every 4 hours. B. Flush the tube before and after feedings if the patient's feedings are intermittent. C. Flush the PEG with 100 mL of sterile water before and after medication administration. D. To prevent fluid overload, avoid flushing when the patient is receiving continuous feeding. - ANS ️️ B. Flush the tube before and after feedings if the patient's feedings are intermittent. A patient received a small-bore nasogastric (NG) tube after a laryngectomy. What should be the nurse's priority interv