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    RN Comprehensive predictor 2023 proctored exam

    A nurse is teaching a client about serum prealbumin. Which of the following statements should the nurse include?

    Explanation & Rationale

    A. "This test can determine your risk for bleeding.": Serum prealbumin does not provide information about clotting or bleeding risk. Coagulation studies, such as PT, aPTT, or platelet count, are used to assess bleeding risk, not prealbumin levels. B. "This test can measure your nutritional status.": Serum prealbumin is a sensitive marker for assessing short-term nutritional status and protein-calorie malnutrition. Because it has a short half-life, changes in prealbumin levels can reflect recent dietary intake and effectiveness of nutritional interventions. C. "This test can determine your risk for cardiovascular disease.": Prealbumin is not used to assess cardiovascular risk. Lipid profiles, cholesterol levels, and other biomarkers are used for cardiovascular disease risk evaluation, making this statement inaccurate. D. "This test can measure your kidney function.": Kidney function is assessed through tests such as serum creatinine, BUN, and estimated GFR. Prealbumin levels are not direct indicators of renal function, although severe kidney disease may indirectly affect protein levels.

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