A nurse calculates a client's fluid intake over the past 8 hours. The client had one 4-oz cup of coffee, 3 oz of juice, and 12 oz of soda.
How many mL should the nurse document as the client's total intake for the shift?

120 mL.

90 mL.

570 mL.

360 mL.

Answer and Explanation

The Correct Answer is C

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Correct Answer is C

Explanation

The correct answer is choice c. Encourage the client to take deep breaths.

Choice A rationale:

Decreasing the head of the client’s bed can worsen oxygenation by compressing the lungs and reducing lung expansion, which is not advisable for a client with low oxygen saturation.

Choice B rationale:

Asking the client to cough every 4 hours can help clear secretions but does not directly address the immediate need to improve oxygen saturation.

Choice C rationale:

Encouraging the client to take deep breaths helps increase lung expansion and improve oxygenation, which is crucial for a client with an oxygen saturation of 88%.

Choice D rationale:

Requesting a prescription for an opioid analgesic is not appropriate in this context as opioids can depress respiratory function, potentially worsening the client’s oxygen saturation.

A. 4.0 mg. B. 0.4 mg. C. 4 mg. D. 0.40 mg.

Correct Answer is B

Explanation

Choice A rationale:

Transcribing the dosage as 4.0 mg is incorrect because it represents four whole milligrams, which is not equivalent to four tenths of a milligram. This would result in a tenfold overdose.

Choice B rationale:

Transcribing the dosage as 0.4 mg is the correct answer. It accurately represents four tenths of a milligram. The leading zero is used to avoid misinterpretation and ensure the decimal point is not overlooked.

Choice C rationale:

Transcribing the dosage as 4 mg is incorrect because it represents four whole milligrams, which is significantly higher than the intended dose of four tenths of a milligram. This would result in a tenfold overdose.

Choice D rationale:

Transcribing the dosage as 0.40 mg is not necessary because it does not provide any additional information compared to 0.4 mg. The extra zero does not add clarity and can potentially lead to errors in medication administration if overlooked.

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A nurse calculates a client's fluid intake over the past 8 hours. The client had one 4-oz cup of coffee, 3 oz of juice, and 12 oz of soda. How many mL should the nurse document as the client's total intake for the shift?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is B

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A nurse calculates a client's fluid intake over the past 8 hours. The client had one 4-oz cup of coffee, 3 oz of juice, and 12 oz of soda.
How many mL should the nurse document as the client's total intake for the shift?