NursingPlex
    Sign In
    Ati Med Surg Complex 2 Final Proctored Exam

    Which lab value does the nurse reassess related to a patient's nutritional care plan?

    Explanation & Rationale

    Rationale: A. Glucose value of 185 mg/dL reflects blood sugar levels, which may be influenced by dietary intake, insulin, or stress, but it is not a direct marker of nutritional status. While glucose monitoring is important in diabetic or hospitalized patients, it does not specifically indicate protein-calorie adequacy or malnutrition. B. Pre-albumin value of 10 mg/dL is correct because pre-albumin (transthyretin) is a sensitive indicator of short-term nutritional status. Pre-albumin has a half-life of approximately 2 days, so it responds quickly to changes in protein and caloric intake. A value of 10 mg/dL is below the normal range (typically 15–36 mg/dL) and suggests protein-calorie malnutrition. Reassessment is critical to determine whether the current nutritional care plan is adequate and whether interventions such as high-protein diet, oral supplements, or enteral/parenteral nutrition are needed. Pre-albumin is preferred over albumin for short-term monitoring because albumin has a much longer half-life (~20 days) and is affected by fluid shifts and chronic illness, making it less responsive to recent dietary changes. C. Magnesium value of 3.0 mEq/L is slightly elevated (normal: 1.7–2.2 mEq/L). While important for electrolyte management, magnesium levels do not directly reflect nutritional adequacy. Elevation may be due to renal impairment, supplements, or medications, not necessarily inadequate nutrition. D. Potassium value of 4.0 mEq/L is within the normal range (3.5–5.0 mEq/L). Potassium reflects electrolyte balance, which can be influenced by diet, kidney function, and medications, but it is not a primary indicator of protein-calorie nutritional status.

    🔒 Submit your answer to reveal