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A nurse is calculating the total fluid intake for a patient over a 4-hour period.

The patient consumed 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water.

How many mL of intake should the nurse record on the patient’s chart?
Answer and Explanation

The Correct Answer is ["1160"]

Step 1: Convert All Fluid Intake to Milliliters (mL)

To accurately record the patient's fluid intake, first, convert each fluid measurement to milliliters:

  • 1 cup of coffee = 240 mL
  • 4 oz of orange juice = 118.3 mL
  • 3 oz of water = 88.7 mL
  • 1 cup of flavored gelatin = 236.6 mL
  • 1 cup of tea = 240 mL
  • 5 oz of broth = 147.9 mL
  • 3 oz of water (another serving) = 88.7 mL

Step 2: Calculate Total Fluid Intake

Add all the converted fluid amounts together:

  • Total fluid intake = 240 mL (coffee) + 118.3 mL (orange juice) + 88.7 mL (water) + 236.6 mL (gelatin) + 240 mL (tea) + 147.9 mL (broth) + 88.7 mL (water) = 1,160.2 mL

Step 3: Round to the Nearest Whole Number

Round the total to the nearest whole number:

  • Rounded total = 1,160 mL

The nurse should record 1,160 mL on the patient’s chart.


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Related Questions

Correct Answer is A

Explanation

Choice A rationale

Nausea and vomiting are common symptoms associated with migraines. Asking about these symptoms can help in assessing the severity of the migraine and planning appropriate interventions.

Choice B rationale

Sensitivity to light, also known as photophobia, is a common symptom of migraines. However, the presence of this symptom alone may not provide a comprehensive understanding of the patient’s condition.

Choice C rationale

While confusion or clouded thinking can occur with migraines, they are not as common as other symptoms such as nausea, vomiting, and sensitivity to light.

Choice D rationale

Feeling weak before the headache starts or currently feeling weak can be associated with migraines, but they are not the most common symptoms.

Correct Answer is D

Explanation

If there is a delay in receiving the new TPN solution from the pharmacy, the nurse should infuse Dextrose 10% in water until the next TPN solution is available. This is because stopping TPN abruptly can cause hypoglycemia. Dextrose 10% in water can provide a source of glucose to prevent hypoglycemia.

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