A nurse is calculating the fluid intake for an infant at the end of an 8-hr shift. For oral intake, the infant had 10 mL of medication, 3 oz of formula, and 2 oz of juice. In addition, the infant had IV fluid infusing at 20 mL/hr via an IV pump. The nurse should record how many mL of intake on the clients record? (Round the answer to the nearest whole number.)
310 mL
390 mL
320 mL
180 mL
The Correct Answer is C
To calculate:
1. Convert units:
1 oz = 30 mL
3 oz formula = 3 oz x 30 mL/oz = 90 mL
2 oz juice = 2 oz x 30 mL/oz = 60 mL
2. Calculate total oral intake:
Total oral intake = 10 mL (medication) + 90 mL (formula) + 60 mL (juice) = 160 mL
3. Calculate IV fluid intake:
IV fluid intake = 20 mL/hr x 8 hr = 160 mL
4. Calculate total fluid intake:
Total fluid intake = 160 mL (oral) + 160 mL (IV) = 320 mL
Answer: 320 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Given:
Ordered volume of Isomil: 12 oz
Step 1: Determine the volume of Isomil needed for 1/4 strength:
Volume of Isomil for 1/4 strength = Original volume x (1/4)
Volume of Isomil for 1/4 strength = 12 oz x (1/4)
Volume of Isomil for 1/4 strength = 3 oz
Step 2: Calculate the volume of solvent (water) needed:
Solvent volume = Original volume - Volume of Isomil for 1/4 strength
Solvent volume = 12 oz - 3 oz
Solvent volume = 9 oz
Step 3: Convert ounces to milliliters:
1 oz = 29.5735 mL
Solvent volume (mL) = 9 oz x 29.5735 mL/oz
Solvent volume (mL) = 266.1615 mL
Step 4: Round to the nearest whole number:
Solvent volume (mL) ≈ 270 mL
Correct Answer is D
Explanation
A) Nausea
Nausea is not the most common or primary complication associated with thrombolytic drugs. While some patients may experience nausea as a minor side effect, it is not the hallmark complication of thrombolytic therapy. Thrombolytic drugs are used to dissolve blood clots, and their primary concern is related to bleeding due to their potent effect on clotting factors.
B) Hypertension
Hypertension (high blood pressure) is not typically associated with thrombolytic therapy. In fact, thrombolytic drugs are more likely to cause hypotension (low blood pressure) in some cases, especially if bleeding complications lead to significant blood loss.
C) Fever
Fever can occur as a side effect of many medications or conditions, but it is not a common or direct complication of thrombolytic therapy. Fever may occasionally arise as a response to infection, inflammation, or even the breakdown of clots, but it is not a primary concern when using thrombolytic drugs.
D) Bleeding
Bleeding is the most common and serious complication associated with thrombolytic drugs. These medications work by breaking down fibrin, the protein responsible for clot formation, to dissolve blood clots. While this is beneficial in conditions like myocardial infarction, stroke, or pulmonary embolism, it increases the risk of bleeding throughout the body. Bleeding can occur at various sites, including internal bleeding, gastrointestinal bleeding, and bleeding at the injection site.
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