. 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 D
Explanation
A. Notify the charge nurse. After ensuring the client’s safety, the nurse should then notify the charge nurseto inform them of the situation and seek guidance.
B. Fill out an incident report. While an incident report is necessary, it should be completed after ensuring the client's safety.
C. Document the client's condition in the electronic medical record. Documentation should follow assessment and intervention to address the error.
D. Check the client's vital signs. This immediate assessment helps determine if the client is experiencing any negative effects from the medication error.
Correct Answer is ["2"]
Explanation
- Prescription: 0.25 mg
- Available: 0.125 mg/tablet
- Tablets needed = Prescription / Available = 0.25 mg / 0.125 mg/tablet = 2 tablets.
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