A nurse is completing the 8-hr 1&0 record for a client who consumed 4 oz of clear soda, 1 piece of toast, 12 oz of water, 1 cup of fruit-flavored gelatin, and 1/2 cup of chicken broth.
The client also received 300 mL of 0.9% sodium chloride IV. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number.)mL.
The Correct Answer is ["1128"]
The correct answer is 1420 mL.
Calculation:
Convert all intake to mL:
- 4 oz soda = 118 mL
- 12 oz water = 355 mL
- 1 cup gelatin = 237 mL
- 1/2 cup broth = 118 mL
- 300 mL IV fluid = 300 mL
Add all intake: 118 mL + 355 mL + 237 mL + 118 mL + 300 mL = 1128 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Placing the client in a modified Trendelenburg position is not the first action to take when managing a heavily bleeding wound.
Choice B rationale:
Applying direct pressure to the wound is the first action to take to control bleeding.
Choice C rationale:
Elevating the extremity can help control bleeding, but it is not the first action to take.
Choice D rationale:
Applying a tourniquet is a last resort when other methods of controlling bleeding have failed.
Correct Answer is D
Explanation
Choice A rationale:
Decreased deep-tendon reflexes are not a common symptom of hypocalcemia. Normal calcium levels in the blood range from 8.5 to 10.2 mg/dL1.
Choice B rationale:
Skeletal muscle weakness is a symptom of hypercalcemia, not hypocalcemia.
Choice C rationale:
Hypoactive bowel sounds are associated with hypercalcemia, not hypocalcemia.
Choice D rationale:
Tingling of the lips is a common symptom of hypocalcemia. This occurs due to increased excitability of the nerves.
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