1. The professional responsibility for providing adequate pain control in a PRN analgesic approach rests solely with the...
c. client requesting pain medications.
d. client's nursing assistant, who then reports to the nurse.
2. The patient is suspected of having protein-calorie malnutrition. Which of the following laboratory values will the nurse want to especially monitor?
a. Total lymphocyte count
b. Serum albumin and serum transferring
Rationale: The responsibility to provide adequate pain control lies with the nurse. The responsibility to provide adequate pain control lies with the nurse. The nurse reinforces teaching and ensures communication between the client, physician, and pharmacist. The physician prescribes a specific medication and a particular route (e.g., IV or epidural), but the nurse administers, maintains, and evaluates the effectiveness of the interventions.
Rationale: Serum albumin and serum transferrin can both indicate insufficient dietary protein intake. The level of serum transferrin measures iron transport and may be a better indicator of protein-calorie depletion than serum albumin. The total lymphocyte count is an indicator of infection or disease, not malnutrition. Triglyceride levels are affected by fat and carbohydrate intake, so those would not be the first lab values to look at. Potassium is a mineral that affects water balance, helps the kidneys function, and plays a role in smooth muscle contraction, but it would not be the first lab to monitor with protein-calorie malnutrition.
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