. A nurse is calculating a client's fluid intake over the past 8 hr. The client had one 8-oz cup of coffee 3 oz of juice, and 12 oz of soda. The client's water pitcher had 800 mL and 200 mL remain. The client also had IV fluids infusing at 40 mL/hr via an IV pump. How many mL should the nurse document as the client's total intake for the shift?
The Correct Answer is ["1","610"]
Coffee: 8 oz × 30 mL/oz = 240 mL
Juice: 3 oz × 30 mL/oz = 90 mL
Soda: 12 oz × 30 mL/oz = 360 mL
Water consumed: 800 mL - 200 mL = 600 mL
IV fluids: 40 mL/hr × 8 hr = 320 mL
Total intake = Coffee + Juice + Soda + Water consumed + IV fluids
Total intake = 240 mL + 90 mL + 360 mL + 600 mL + 320 mL = 1,610 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Notify the provider immediately if urine turns red-brown in color. Phenytoin can cause urine discoloration, but this is not typically a cause for immediate concern.
B. Obtain an annual flu vaccine while taking phenytoin. While vaccinations are important, there is no specific requirement for flu vaccination solely based on phenytoin use.
C. Shake the suspension vigorously prior to pouring the medication. Phenytoin suspension should be shaken gently to ensure even distribution of the medication.
D. Take an antacid with the medication to avoid gastric upset. Antacids should not be taken simultaneously with phenytoin, as they can decrease its absorption.
Correct Answer is ["50"]
Explanation
Calculation:
- Total volume (mL) = 400 mL
- Total time (hr) = 8 hr = 480 min
- Drops per minute (gtt/min) = (Total volume × Drop factor) / Total time
- gtt/min = (400 mL × 60 gtt/mL) / 480 min = 50 gtt/min
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