Members of the multidisciplinary care team are reviewing a patient's nutritional status and analyzing assessment values. Which value would need additional investigation?
1. A serum albumin of more than 3.5 g/dL or 35 g/L
2. A weight increase of 1.5 kg in a day
3. A serum hemoglobin of 11.7 g/dL or 117 mmol/L
4. A prealbumin level of 35 mg/dL
2
Rationale 1: This value would not need additional investigation.
Rationale 2: A weight change of 1.5 kg (approximately 3.3 lb) reflects approximately 1.5 liters of fluid. Additional assessment needs to be done to evaluate the cause and risks.
Rationale 3: This value is at the lower end of normal levels for an adult patient and would not need additional investigation.
Rationale 4: This value would not need additional investigation.
You might also like to view...
Because a pregnant client's diabetes has been poorly controlled throughout her pregnancy, her neonate is at risk for which condition at the time of birth?
A) Macrosomia C) Hyperglycemia B) Low birth weight D) Hypobilirubinemia
Nurse Q has 12 patients she is responsible for on the orthopedic floor this evening. She "gets a feeling" that she need to check on Mr. Zed in room 437 even though he was fine and sitting up in bed one hour ago when she made rounds
She discovered him on the floor after trying to reach the bathroom and calls for help. What type of thinking was Nurse Q responding to? a. clinical thinking c. reflective thinking b. critical thinking d. intuitive thinking
A nurse is caring for a client with who is experiencing leukocytosis. When providing care to this client, which action by the nurse is the most appropriate?
A) Instruct the client on the use of an electric razor and soft toothbrush. B) Assess for bleeding and bruising. C) Assess for source of infection. D) Place the patient in reverse isolation precautions.
Which nurse founded the National Association of Colored Graduate Nurses in 1908?
1. Mary Seacole 2. Cecilia Makiwane 3. Mary Mahoney 4. Loretta Ford