- 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
Related Questions
Correct Answer is ["600"]
Explanation
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
Correct Answer is C
Explanation
A. A heart rate of 120 beats/minute in a 2-month-old infant is within the expected normal range, so there is no immediate need to alert the charge nurse. Routine findings should be documented and managed according to standard protocol.
B. Digoxin should be withheld in infants if the apical heart rate is below 90–110 beats/minute depending on age. Since the infant’s heart rate is within the normal range, withholding the medication is not indicated.
C. Digoxin can be safely administered because a heart rate of 120 beats/minute is appropriate for a 2-month-old infant. Documenting the heart rate ensures accurate recording of the assessment prior to administration and supports safe medication practice.
D. There is no indication to delay or recheck the heart rate in 1 hour because the current rate is within normal limits. Delaying medication could interfere with therapeutic management.
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