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.

Choice A rationale:

Obtaining the number of the client’s provider is not the immediate action to take. The client is showing signs of a possible stroke (right-sided weakness and slurred speech), which is a medical emergency.

Choice B rationale:

Finding a location for the client to sit is not the immediate action to take. The client needs medical attention immediately due to the signs of a possible stroke.

Choice C rationale:

Driving the client to the nearest emergency room is not the best action to take. It would be faster and safer to call emergency medical services who are trained to handle such situations.

Choice D rationale:

Calling emergency medical services is the correct action. The client is showing signs of a possible stroke, which requires immediate medical attention.

Choice A rationale:

Vitamin A is a fat-soluble vitamin. Clients with acute pancreatitis often have difficulty absorbing fat, including fat-soluble vitamins, so supplementation may be necessary.

Choice B rationale:

Vitamin C is a water-soluble vitamin, not a fat-soluble vitamin.

Choice C rationale:

Vitamin B12 is a water-soluble vitamin, not a fat-soluble vitamin.

Choice D rationale:

Vitamin B is a water-soluble vitamin, not a fat-soluble vitamin.