- 4 ounce apple Juice 8 ounces milk
- 4 ounces broth
- 4 ounces tea
A client remains on strict intake and output (1&O) on the first postoperative day and documents the last 8 hours of intake on the I&O bedside record above. How many mL should the practical nurse (PN) document in the client's electronic medical record (EMR)?
(Enter numeric value only.)
The Correct Answer is ["600"]
To calculate the total intake in milliliters:
- 4 ounces apple juice → 4 × 30 = 120 mL
- 8 ounces milk → 8 × 30 = 240 mL
- 4 ounces broth → 4 × 30 = 120 mL
- 4 ounces tea → 4 × 30 = 120 mL
Total intake: 120 + 240 + 120 + 120 = 600 mL
Answer:
600
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Croup is a viral infection that affects the upper airways, causing inflammation and narrowing of the air passages. In severe cases, it can lead to respiratory distress, including increased work of breathing and decreased oxygen saturation levels. Monitoring the child's oxygen saturation level using a pulse oximeter is an essential intervention to assess the severity of respiratory distress and the need for further interventions.

A. Encouraging the child to drink cool, clear liquids can help soothe the throat and prevent dehydration.
B. Instructing the mother to play with the child for stimulation and distraction can help provide comfort and alleviate anxiety.
D. Administering acetaminophen as needed (PRN) can help reduce fever and discomfort. However, none of these interventions directly address the potential respiratory distress and the need for oxygenation assessment.
Correct Answer is B
Explanation
Antiplatelet medications, such as aspirin or clopidogrel, are prescribed to prevent the formation of blood clots by inhibiting platelet aggregation. These medications can increase the risk of bleeding or prolonged bleeding time. Therefore, when removing the saline lock, applying pressure over the site for several minutes helps to minimize the risk of bleeding and promote hemostasis.
A. Leaving the saline lock in place and notifying the charge nurse may not be necessary unless there are specific concerns or complications related to the client's condition.
C. Encouraging the client to drink additional oral fluids is not directly related to the discontinuation of the saline lock and the potential risk of bleeding associated with antiplatelet medication.
D. Preparing a warm pack to apply after removing the lock is not necessary for this situation. Warm packs are typically used for comfort or to promote circulation, but they are not directly related to the risk of bleeding associated with antiplatelet medication.
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