Author Question: The nurse is caring for a patient diagnosed with severe dehydration. She notes that the patient's ... (Read 93 times)

segrsyd · **on:** Jun 25, 2018

The nurse is caring for a patient diagnosed with severe dehydration. She notes that the patient's albumin level is 4.0. What may this indicate?

a. The patient is in a compromised protein state.
b. The level may be falsely high.
c. An acute nutritional deficiency.
d. A long-term nutritional deficiency.

Question 2

A patient is admitted to the hospital for evaluation for sleep apnea. The nurse calculates his body mass index (BMI) at 42 kg/m2. What does this indicate about the patient's weight?

a. The patient is overweight.
b. The patient falls into the class 1 range of obesity.
c. The patient falls into the class 2 range of obesity.
d. The patient falls into the class 3 range of extreme obesity.

jliusyl · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
In patients who are dehydrated or who have received infusions of albumin, fresh frozen plasma, or whole blood, serum albumin levels will appear normal. Normal serum albumin values are between 3.5 and 5.0 g/dL. Albumin is a useful test for monitoring long-term nutrition changes because normal values still may be found among patients who are malnourished. For nutritional analysis, values between 2.8 and 3.5 g/dL indicate compromised protein status. Normal serum albumin values are between 3.5 and 5.0 g/dL.

Answer to Question 2

D
Extreme obesity (class 3) is defined as a BMI equal to or greater than 40 kg/m2. Overweight is defined as a BMI between 25 and 29.9 kg/m2. Class 1 obesity is defined as a BMI between 30 and 34.9 kg/m2. Class 2 obesity is defined as a BMI between 35 and 39.9 kg/m2.