Author Question: The nurse is admitting a client to the unit with a diagnosis of lung cancer. This client is ... (Read 81 times)

Jramos095 · **on:** Aug 2, 2018

The nurse is admitting a client to the unit with a diagnosis of lung cancer. This client is undergoing a partial lobectomy followed by chemotherapy. The client is a 55-year-old male who weighs 125 pounds.

What is the approximate protein and calorie intake per day for this client? (Round to the nearest whole number.) A) 110 g/day of protein; 1400 cal/day
B) 120 g/day of protein; 1600 cal/day
C) 130 g/day of protein; 1800 cal/day
D) 140 g/day of protein; 2000 cal/day

Question 2

During a physical assessment, the nurse can test for Trousseau's or Chvostek's sign if she suspects:

1. Hypocalcemia.
2. Hypokalemia.
3. Hypophosphoremia.
4. Anemia.

sultansheikh · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

D
Feedback:
Calorie needs may range from 25 to 30 cal/kg for nonambulatory or sedentary adults to 35 cal/kg or more for hypermetabolic or severely stressed clients; protein needs range from 1.0 to 2.5 g/kg. First compute the weight in kg: 125 pounds / 2.2 kg = 56.8 kg. Now using the maximum range, compute the calorie and protein needs: (57 kg 35 cal/kg = 1995 cal) and (57 kg 2.5 g/kg = 142.5 g).

Answer to Question 2

1
Rationale: Trousseau's and Chvostek's sign can easily be used by the nurse during a physical assessment to test for signs of hypocalcemia. Levels of potassium, phosphorous, and iron are usually measured by serum tests.