A client remains on strict measurement of intake and output (1&O) on the second postoperative day. During breakfast, the client consumed 4 ounces of a protein shake, a cup of black coffee, and 6 ounces of apple juice. How many mL should the nurse document in the client's record? (Enter numerical value only.)

Answer and Explanation

The Correct Answer is ["532"]

1 ounce (oz) is approximately equal to 29.5735 milliliters (mL).

Given that the client consumed:

4 ounces of protein shake
1 cup (which is typically 8 fluid ounces) of black coffee
6 ounces of apple juice

Calculation

Protein shake: 4 ounces 29.5735 mL/ounce = 118.294 mL
Black coffee: 8 ounces 29.5735 mL/ounce = 236.588 mL
Apple juice: 6 ounces 29.5735 mL/ounce = 177.441 mL

Summing up the intake:

Total intake = Protein shake + Black coffee + Apple juice Total intake = 118.294 mL + 236.588 mL + 177.441 mL Total intake = 532.323 mL

Rounded off to the nearest whole number = 532mL

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Correct Answer is D

Explanation

Rationale for A: Advising the client to include aerobic exercise could be beneficial as it may help in weight management and overall health. However, it does not directly address the dietary concerns associated with hyperthyroidism.
Rationale for B: Reducing caloric intake is generally not recommended for hyperthyroidism as the condition often leads to weight loss and increased metabolism; therefore, patients may require more calories to maintain a healthy weight.
Rationale for C: Increasing dietary fiber is beneficial for general health and can aid digestion, but it is not the primary dietary change needed for managing hyperthyroidism.
Rationale for D: Encouraging the client to continue increasing protein and caloric intake is appropriate, as hyperthyroidism can cause weight loss and muscle wasting. Adequate protein and caloric intake can help mitigate these effects.

A. Taco salad, refried beans, low-fat ice cream, and coffee. B. Canned cream of mushroom soup, tuna salad, and water. C. Chicken salad on toast, fruit-flavored yogurt, and iced tea. D. Bacon, lettuce, and tomato sandwich, grapes, and skim milk.

Correct Answer is B

Explanation

A. Taco salad, refried beans, low-fat ice cream, and coffee. This meal may contain high levels of sodium, particularly in the taco salad and refried beans, which could exacerbate the client's
elevated serum sodium level.

B. Canned cream of mushroom soup, tuna salad, and water. This meal likely has a lower sodium content compared to the other options, as long as the canned cream of mushroom soup is chosen with a low-sodium option. Tuna salad can be prepared with low-sodium ingredients, and water is sodium-free.
C. Chicken salad on toast, fruit-flavored yogurt, and iced tea. Chicken salad and fruit-flavored yogurt can contain hidden sources of sodium, especially if they are commercially prepared or contain added sauces or flavorings. Iced tea may also contain sodium, depending on how it is prepared.
D. Bacon, lettuce, and tomato sandwich, grapes, and skim milk. Bacon is typically high in sodium, which would not be advisable for someone with elevated serum sodium levels. Skim milk and grapes are generally low in sodium, but the sandwich could significantly contribute to the client's sodium intake.

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Naxlex Comprehensive Predictor Exams

In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

Correct Answer is D

Explanation

A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

Correct Answer is B

Explanation

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