A nurse is completing an 8-hr 1&0 record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

Answer and Explanation

The Correct Answer is ["740"]

4 oz juice → 120 mL
6 oz tea → 180 mL
100 mL ice chips → 50 mL (Ice chips are counted as half their volume when melted)
IV bolus → 150 mL
8 oz broth → 240 mL

Total intake:

120+180+50+150+240=740 mL120 + 180 + 50 + 150 + 240=740 mL

Correct answer: 740 mL

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Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

A. "You should limit fluids in the evening." Helps reduce nighttime urinary urgency.

B. "Your provider might prescribe anticholinergic medications." Anticholinergics like oxybutynin reduce bladder contractions, decreasing urgency.

C. "You might require an anterior vaginal repair." More commonly done for stress incontinence, not urge incontinence.

D. "You should restrict your intake of caffeine." Caffeine is a bladder irritant and increases urinary urgency.

E. "You might require intermittent urinary catheterization." Not necessary unless the client has urinary retention, which is not typical for urge incontinence.

A. Hold the penis at a 30° to 45° angle when inserting the catheter. B. Perform catheterization when you recognize the urge to void. C. Use soap and water to wash the catheter after each use. D. Inflate the balloon when the urine flow stops.

Correct Answer is C

Explanation

A. Hold the penis at a 30° to 45° angle when inserting the catheter. The penis should be held at a 90° angle to straighten the urethra and facilitate catheter insertion.

B. Perform catheterization when you recognize the urge to void. Clients with BPH may not sense the urge due to urinary retention. Catheterization should be performed at scheduled intervals to prevent bladder overdistention.

C. Use soap and water to wash the catheter after each use. Proper cleaning of the catheter with soap and water helps prevent infection and prolongs the catheter’s usability.

D. Inflate the balloon when the urine flow stops. Self-catheterization uses a straight catheter, which does not have a balloon for inflation (balloons are used in indwelling catheters).

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A nurse is completing an 8-hr 1&0 record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching? (Select all that apply)

Correct Answer is ["A","B","D"]

Explanation

A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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