The physician has ordered several laboratory tests for the client as part of a nutritional assessment. Which of the following laboratory tests provide the most accurate information regarding current nutritional status?
1. Prealbumin
2. Albumin
3. Transferrin
4. Total lymphocyte count
1
Rationale: Albumin, prealbumin, and transferring are classified as plasma proteins. Each of these proteins has a different half-life. Plasma proteins with short half-lives provide more current information about a client's nutritional status. Albumin has a long half-life, so it is not a very sensitive marker. Transferrin has a shorter half-life than albumin, but it is still not the best marker for nutritional status. Prealbumin's half-life is the shortest of the three plasma proteins and it can be used to evaluate a client's current nutritional status. The total lymphocyte count is more useful as a way to measure immunocompetence and is not used to measure a client's nutritional status.
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1. Disaster Mortuary Operations Response Teams. 2. Office of Environmental Protection employees. 3. Centers for Disease Control employees. 4. Department of Health and Human Services employees.
A nurse is developing a plan of care for a dying patient. Which of the following physiologic basic human needs should be addressed?
A) personal hygiene B) risk for infection C) family support D) spirituality
When making observations, you should note the
A. patient, the environment, and the other staff. B. physician's orders. C. patient, response to treatment, and environment. D. normal adult values only.
Four-year-old David is placed in Buck's extension traction for Legg-Calvé-Perthes disease. He is crying with pain as the nurse assesses that the skin of his right foot is pale with an absence of pulse. What should the nurse do first?
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