Which lab values indicate protein malnutrition? In your answer, give the possible reasons for protein malnutrition and explain the relationship between protein in the urine and renal disease
Serum albumin is on the bottom side of normal, but considering the medical history and diet recall, it should be suspected that serum albumin would be low. A prealbumin level would be helpful here. The albumin level in the tissues is probably decreasing but has not decreased enough to show a major drop in the blood.
Proteinuria usually develops as a result of longstanding hypertensive disease and is one of the first symptoms of renal disorder.
Other causes of proteinuria include: nephrosis, glomerulosclerosis, glomerulonephritis, nephrolithiasis, polycystic kidney disease, and renal failure.
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During a woman's 34th week of pregnancy, she is told that she has preeclampsia. The nurse knows which statement concerning preeclampsia is true?
a. Preeclampsia has little effect on the fetus. b. Edema is one of the main indications of preeclampsia. c. Eclampsia only occurs before delivery of the baby. d. Untreated preeclampsia may contribute to restriction of fetal growth.
Nurse Y is providing care for a male patient who is in the late stages of vascular dementia. The nurse is in the habit of reminding the patient who he is, where he is, and what month and year it is when interacting with him
How is nurse Y's action best understood? A) Reorientation is ineffective with patients diagnosed with dementias. B) Reorientation serves only to remind patients with dementia of their cognitive losses, so it is best avoided. C) Reorientation can be a useful intervention when used appropriately. D) Reorientation does not slow the progression of cognitive losses and is thus unwarranted.
The nurse teaching a patient recently diagnosed with myasthenia gravis should tell him that it is caused by:
A) Genetic dysfunction B) Upper and lower motor neuron lesions C) Decreased conduction of impulses in an upper motor neuron lesion D) A lower motor neuron lesion