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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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Correct Answer is D

Explanation

Choice A rationale

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Choice B rationale

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Choice C rationale

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Choice D rationale

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Correct Answer is D

Explanation

Choice A rationale

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Choice B rationale

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Choice C rationale

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Choice D rationale

Suctioning two to three times with a 60-second pause between passes is the correct action. This helps to remove secretions effectively without causing hypoxia.

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