A nurse is calculating the intake for a client who reports eating a 4 oz container of ice cream and drinking 8 oz of coffee. The nurse should document how many mL of fluid intake in the client's medical record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A. Wearing sterile gloves when collecting a urine specimen from an indwelling urinary catheter: Sterile gloves are not required for routine urine specimen collection from an indwelling catheter unless the procedure involves breaking the closed system for insertion or manipulation. Using sterile gloves unnecessarily increases supply costs without improving safety.

B. Donning an N95 mask before caring for a client who is on contact precautions: Contact precautions require gloves and a gown, not an N95 respirator. Using an N95 inappropriately consumes a more expensive resource without providing additional protection, which is not cost-effective. Appropriate PPE selection should be based on transmission precautions.

C. Returning unopened supplies to the storage room: Returning unopened supplies for future use prevents unnecessary waste and reduces institutional costs. Supplies that remain sterile and intact can be reused for other clients, demonstrating effective resource management while maintaining safety standards.

D. Replacing a continuous feeding administration set every 8 hr: Standard guidelines recommend replacing continuous enteral feeding sets every 24 hours to prevent infection, unless otherwise indicated. Replacing them every 8 hours unnecessarily increases supply use and cost without additional safety benefit, making it a less cost-effective practice.

A. Elevates the client's legs before applying the stockings: Elevating the legs helps reduce venous pressure and promotes venous return, making it easier to apply the antiembolic stockings without causing constriction or discomfort. This step ensures the stockings fit smoothly and function effectively to prevent deep vein thrombosis.

B. Instructs the client to dorsiflex their feet while applying the stockings: While dorsiflexion exercises help stimulate circulation once the stockings are in place, instructing the client to dorsiflex during application is unnecessary and does not facilitate proper placement of the stockings.

C. Massages the client's legs before applying the stockings: Massaging the legs prior to applying stockings is contraindicated because it can dislodge a thrombus in clients at risk for deep vein thrombosis, potentially leading to a pulmonary embolism.

D. Folds the top of the stockings over after applying them: Folding the top of antiembolic stockings can create constriction, impair circulation, and reduce the stockings’ effectiveness. Stockings should be applied smoothly without wrinkles or folds to ensure uniform pressure and safety.