The nurse is evaluating the adequacy of the burn-injured client's nutritional intake. Which laboratory value is the best indicator of nutritional status?
A) Creatine phosphokinase (CPK)
B) BUN levels
C) Hemoglobin
D) Albumin level
Answer: D
Albumin level is used to indicate protein synthesis and nutritional status. Creatine phosphokinase is used to identify the presence of muscle injuries. BUN levels are used to evaluate kidney function. Hemoglobin levels will fluctuate with the stages of the burn injury, dependent upon the fluid status.
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Shortly after the client's health care provider evaluated her cervical dilation as being 7 centimeters, she tells you, "I think I'm about to have the baby!" Which of these actions should the nurse take immediately?
a. Instruct her to pant. b. Leave the room to notify the health care provider. c. Open an emergency birth pack. d. Visualize her perineum for crowning.
Each of the following pregnant women is scheduled for a 14-week antepartal visit. In planning care, the nurse would give priority teaching on amniotic fluid alpha-fetoprotein (AFP) screening to which patient?
1. 28-year-old with history of rheumatic heart disease 2. 18-year-old with exposure to HIV 3. 20-year-old with a history of preterm labor 4. 35-year-old with a child with spina bifida
A nurse's friend says, "I may have to have some dental work done and I am concerned because I take aspirin every day." How should the nurse respond to this information?
Standard Text: Select all that apply. 1. "When you go to the dentist, be sure to report your aspirin use." 2. "Since you take such a small dose of aspirin, there is no problem." 3. "The usual recommendation is to stop taking aspirin a week before any dental or surgical procedure." 4. "Aspirin therapy is not associated with bleeding from dental procedures." 5. "Any bleeding from your procedure can be reversed by taking vitamin E."
The nurse is caring for a patient, G2 P0, who is in active labor with fetal heart rate of 146 with good variability and with rupture of membranes for 28 hours. Which of the following nursing actions is contraindicated for this patient?
A) Administering a soapsuds enema B) Encouraging the patient to labor in the shower C) Performing frequent vaginal exams D) Providing the patient with ice chips to chew on