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.)

Answer and Explanation

The Correct Answer is ["591.4"]

To calculate the total intake in milliliters (mL), we need to convert the given measurements from ounces to milliliters and then sum them up.

1 ounce (oz) is approximately equal to 29.57 milliliters (mL).

Given intake: 4 ounces apple juice = 4 oz * 29.57 mL/oz = 118.28 mL 8 ounces milk = 8 oz *

29.57 mL/oz = 236.56 mL 4 ounces broth = 4 oz * 29.57 mL/oz = 118.28 mL 4 ounces tea = 4 oz

* 29.57 mL/oz = 118.28 mL

Total intake = 118.28 mL + 236.56 mL + 118.28 mL + 118.28 mL = 591.4 mL

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Correct Answer is A

Explanation

Repositioning the client helps alleviate any discomfort or pressure points that may be interfering with their ability to find a comfortable sleeping position. Providing a back rub can promote relaxation and help the client feel more comfortable.
It is important to address non-pharmacological interventions first before considering medication options. In this case, repositioning and providing a back rub are non-invasive, non-pharmacological interventions that can be effective in promoting sleep.

B. Offering a cup of hot chocolate at bedtime may not address the underlying cause of the client's difficulty in sleeping and may not be the most appropriate intervention at this time.
C. Similarly, administering a prescribed sleep medication should only be considered after non-pharmacological interventions have been attempted and if deemed necessary by the healthcare provider.
D. Administering an as-needed (PRN) prescription for pain may be appropriate if pain is contributing to the client's difficulty in sleeping. However, repositioning and providing a back rub can be the initial interventions to address discomfort and pain before considering additional pain medication.

A. Maximize resting and avoid undue pressure on the cesarean incision. B. Return the patient to bed and maintain bed rest until the local ﬂow stabilizes. C. Adjust IV ﬂuid flow rate and continue to monitor the local ﬂow amount. D. Withhold bladder emptying until the Foley catheter is removed and contract the fundus.

Correct Answer is B

Explanation

The patient experienced a sudden guard while being assisted to the bathroom, which led to their hospitalization. The most appropriate action for the practical nurse (PN) in this situation is to prioritize the patient's safety and well-being. Returning the patient to bed and maintaining bed rest allows for stability and minimizes the risk of further complications or injury. By providing a safe and controlled environment, the PN can monitor the patient's condition and collaborate with the healthcare team to determine the appropriate course of action moving forward.

Options a), c), and d) are not relevant or appropriate in this context.

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Naxlex Comprehensive Predictor Exams

A client who had orthopedic surgery three days ago verbalizes difficulty in sleeping. Which initial intervention is best for the practical nurse (PN) to implement?

Correct Answer is A

Explanation

A patient is being assisted to the bathroom for the first time after Caeserean delivery. A recent experience caused a sudden fall made the client end up at the hospital. The options for the practical nurse (PN) are:

Correct Answer is B

Explanation

The practical nurse (PN) should collect the following information during the admission assessment of a terminally ill client to an acute care facility:

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The practical nurse (PN) is auscultating a client's heart sounds. Which abnormal heart sound should the PN report to the charge nurse? (Please listen to the audio file to select the option that applies.)

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