A nurse is completing an 8-hr 1&O 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?
The Correct Answer is ["732"]
To calculate the total intake, we need to convert all measurements to the same unit, in this case, milliliters (mL).
1 ounce (oz) is approximately equal to 29.5735 mL.
Also, it’s important to note that when ice chips melt, they become about half their volume in water. So, 100 mL of ice chips would become about 50 mL of wate
Let’s calculate:
Juice: 4 oz * 29.5735 = 118.294 mL
Tea: 6 oz * 29.5735 = 177.441 mL
Ice chips: 100 mL * 0.5 = 50 mL
IV bolus: 150 mL
Broth: 8 oz * 29.5735 = 236.588 mL
Adding all these together:
118.294 mL (juice) + 177.441 mL (tea) + 50 mL (ice chips) + 150 mL (IV bolus) + 236.588 mL (broth) = 732.323 mL
So, the nurse should record 732 mL of intake on the client’s record (rounded to the nearest whole number).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Lecithin/sphingomyelin (L/S) ratio of 2:1: An L/S ratio of 2:1 or higher is indicative of fetal lung maturity. Lecithin and sphingomyelin are phospholipids that contribute to the development of the fetal lung surfactant. A higher ratio suggests that the lungs have reached maturity and are capable of adequate gas exchange.
B) Phosphatidylglycerol (PG) absent: The presence of phosphatidylglycerol (PG) in amniotic fluid is a sign of fetal lung maturity. Absence of PG suggests that the fetal lungs may not have reached maturity.
C) Biophysical profile score of 8: The biophysical profile (BPP) is a prenatal ultrasound evaluation of fetal well-being. While a BPP score of 8 out of 10 is reassuring, it does not specifically indicate fetal lung maturity.
D) Nonstress test is reactive: A reactive nonstress test (NST) indicates that the fetal heart rate accelerates appropriately with fetal movement, suggesting fetal well-being. However, it does not provide information about fetal lung maturity.
Correct Answer is A
Explanation
A) Insulin:
Insulin is the medication of choice for managing gestational diabetes mellitus (GDM) that is not controlled with diet and exercise. It does not cross the placenta and is safe for both the mother and the fetus. Insulin helps to maintain blood glucose levels within the target range, reducing the risk of complications associated with GDM.
B) Repaglinide:
Repaglinide is an oral hypoglycemic agent that is not typically recommended for use in pregnancy because its safety in pregnant women has not been well established.
C) Glipizide:
Glipizide is a sulfonylurea oral hypoglycemic agent, and like other oral hypoglycemics, it is generally avoided during pregnancy because it can cross the placenta and potentially cause hypoglycemia in the fetus.
D) Acarbose:
Acarbose is an alpha-glucosidase inhibitor used to manage type 2 diabetes by slowing the digestion of carbohydrates. Its use in pregnancy is not well established, and it is not the first-line treatment for GDM. Insulin is preferred for its effectiveness and safety profile in pregnant women.
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