RN Comprehensive Online Practice 2024 B with NGN Exam Questions With Complete Solutions!!!

A nurse is caring for an older adult client who is experiencing chronic anorexia and is receiving enteral tube feedings. Which of the following laboratory values indicates that the client needs additional nutrients added to the feeding? (A) Creatinine 1.1 mg/dL (B) Albumin 2.8 g/dL (C) Triglycerides 100 mg/dL (D) Alkaline phosphatase 118 units/L - ANS Albumin 2.8 g/dL [The expected reference range for albumin is 3.5 to 5 g/dL] (A creatinine level of 1.1 mg/dL is within the expected reference range of 0.5 to 1.1 mg/dL for a female client, and 0.7 to 1.3 mg/dL for a male client) (A triglyceride level of 100 mg/dL is within the expected reference range of 35 to 135 mg/dL for a female client, and 40 to 160 mg/dL for a male client) (An alkaline phosphatase level of 118 units/L is within the expected reference range of 30 to 120 units/L. An elevated alkaline phosphatase level is an indication of liver or bone disorders, with a decreased level indicating malnutrition) Burkholderia cepacia lung infection: what type of precautions will be initiated? - ANS Contact isolation precautions A nurse is preparing a sterile field to perform a sterile dressing change. Which of the following interventions should the nurse use to maintain surgical aseptic technique? (A) Hold hands folded below the waist after donning sterile gloves. (B) Pick up and pour solutions with the palm of the hand covering bottle labels. (C) Keep sterile items within a 1.3 cm (0.5 in) border of the sterile drape. (D) Maintain sterile objects within the line of vision. - ANS Maintain sterile objects within the line of vision. A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. Which of the following actions should the nurse plan to take? (A) Perform ADLs for the client to promote rest. (B) Allow for frequent rest periods throughout the day. (C) Use heat to reduce joint inflammation. (D) Develop a daily schedule for acetaminophen up to 6 g/day that covers peak periods of pain. - ANS Allow for frequent rest periods throughout the day. [The nurse should encourage clients who have rheumatoid arthritis to balance rest with exercise to maintain muscle strength, joint function, and range of motion]