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).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
To determine how many amoxicillin tablets the nurse should administer, we can divide the prescribed dosage by the amount of amoxicillin per tablet, rounding to the nearest whole number:
Prescribed dose per administration: 250 mg
Amount of amoxicillin per tablet: 125 mg/tablet
Number of tablets = Prescribed dose / Amount of amoxicillin per tablet (rounded to nearest whole number)
Number of tablets = 250 mg / 125 mg/tablet = 2 tablets
Therefore, the nurse should administer 2 tablets of amoxicillin with each dose.
Correct Answer is C
Explanation
A) Insert a gloved hand into the vagina to relieve pressure on the cord: While this action may be necessary in some cases, the priority in this situation is to relieve pressure on the umbilical cord to prevent cord compression. Placing the client in the knee-chest position is the most appropriate initial action to achieve this.
B) Cover the cord with a sterile, moist saline dressing: Applying a sterile, moist saline dressing is typically done after taking steps to relieve pressure on the umbilical cord. While it is important to keep the cord moist and protected, it is not the first action to take in this emergency situation.
C) Place the client in knee-chest position: Placing the client in the knee-chest position helps to relieve pressure on the umbilical cord by shifting the weight of the uterus off the cord. This position can help prevent cord compression and maintain fetal oxygenation, making it the priority action in this situation.
D) Prepare the client for an immediate birth: While preparing for a possible emergency birth may be necessary if the client is close to delivering, the immediate concern is relieving pressure on the umbilical cord to prevent fetal compromise. Placing the client in the knee-chest position should be the first action taken by the nurse to address the cord prolapse.
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