A nurse is caring for a client who has diabetic ketoacidosis. During the shift, the client received 0.45% sodium chloride IV at 500 mL/hr for 3 hr, then at 200 mL/hr for 3 hr, and then dextrose 5% in water at 75 mL/hr for 2 hr. What is the total volume the nurse should document for the client's IV fluid intake? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["2250"]

To calculate the total volume of IV fluid intake, we need to calculate the volume administered during each time period and then sum them up.

First 3 hours: 500 mL/hr * 3 hr = 1500 mL

Next 3 hours: 200 mL/hr * 3 hr = 600 mL

Last 2 hours: 75 mL/hr * 2 hr = 150 mL

Now, we add these volumes together:

1500 mL + 600 mL + 150 mL = 2250 mL

Therefore, the total volume the nurse should document for the client's IV fluid intake is 2250 mL.

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Correct Answer is C

Explanation

A. Wire cutters – These are used in clients with wired jaws, not for chest tube management.

B. Tracheostomy tray – This is necessary for airway emergencies but is not specific to chest tube management.

C. Padded clamp – This is the correct answer because a padded clamp is used to assess for air leaks, check chest tube patency, or temporarily clamp the tube if needed during troubleshooting or before removal.

D. Sand bag – A sandbag is not necessary for a client with a chest tube; it is more commonly used for stabilizing orthopedic injuries.

A. Protective environment B. Airborne C. Droplet D. Contact

Correct Answer is C

Explanation

A. Protective environment – Incorrect. Protective environment precautions are for immunocompromised clients (e.g., those with neutropenia).

B. Airborne – Incorrect. Airborne precautions are used for tuberculosis, measles, and varicella, not bacterial meningitis.

C. Droplet – Correct. Bacterial meningitis is transmitted through large respiratory droplets, requiring droplet precautions (mask, gown, and gloves when within 3 feet of the client).

D. Contact – Incorrect. Contact precautions alone are insufficient for bacterial meningitis, which spreads via droplets.

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Naxlex Comprehensive Predictor Exams

A nurse is planning postoperative care for a client who is having a thoracotomy with a chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?

Correct Answer is C

Explanation

A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of precautions should the nurse initiate?

Correct Answer is C

Explanation

A nurse is teaching about safe handling of formula to a client who is postpartum and chooses to bottle feed her newborn. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing to administer naloxone IV bolus to a client who has opioid use disorder and has developed acute opioid toxicity. Which of the following actions should the nurse take?

A nurse is implementing seizure precautions for a newly admitted client. Which of the following equipment should the nurse place in the client's room?

Exhibits for additional information about the client. There are three tabs that contain separate categories of data.)

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A nurse is teaching a client how to care for his behind-the-ear hearing aids. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reviewing the results of laboratory screenings for a 9-month-old infant. Which of the following results should the nurse report to the provider?