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","C","E"]
Explanation
The correct answers are Choice B: "I must stop smoking.", Choice C: "I am limiting my intake of fast foods.", and Choice E: "I need to monitor my weight."
Choice A rationale:
Stopping alcohol consumption can have various health benefits, but moderate alcohol consumption is not a primary risk factor for coronary artery disease. Instead, excessive drinking is more concerning.
Choice B rationale:
Smoking is a significant risk factor for coronary artery disease. Quitting smoking greatly reduces the risk and improves overall cardiovascular health.
Choice C rationale:
Limiting fast food intake is an important dietary change, as fast foods are often high in unhealthy fats, salt, and calories, which can contribute to coronary artery disease.
Choice D rationale:
The statement "I should lower my HDL cholesterol level" is incorrect. HDL cholesterol is considered "good" cholesterol and helps to protect against heart disease. Therefore, lowering HDL cholesterol would not be beneficial.
Choice E rationale:
Monitoring and maintaining a healthy weight is crucial for reducing the risk of coronary artery disease. Excess weight, particularly around the abdomen, is a known risk factor.
Correct Answer is D
Explanation
Choice A rationale:
Increased deep tendon reflexes are not typically associated with anaphylaxis. This is more commonly seen in conditions affecting the nervous system.
Choice B rationale:
While erythema of the skin can occur in anaphylaxis, it is not the most indicative symptom of this condition.
Choice C rationale:
Bradycardia is not typically associated with anaphylaxis. Anaphylaxis is more likely to cause tachycardia, or a rapid heart rate.
Choice D rationale:
Hypotension, or low blood pressure, is a common symptom of anaphylaxis. This occurs due to widespread vasodilation in response to the allergen.
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