A nurse is determining a client's intake based on the following information: 300 mL IV fluids, 8 oz coffee, 8 oz beef broth, 6 oz gelatin, and 24 oz water. What is the client's total intake? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["1680"]

We'll use milliliters (mL) as the standard unit. There are approximately 30 mL in 1 ounce.

The client's intake from the coffee, beef broth, gelatin, and water is 8 oz + 8 oz + 6 oz + 24 oz, which equals 46 oz.

Converting ounces to milliliters, we get: 46 oz * 30 mL/oz = 1380 mL.

Adding the IV fluids, the total intake is 300 mL + 1380 mL = 1680 mL. The client's total intake is 1680 mL.

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Correct Answer is D

Explanation

A. Crohn's disease is more commonly associated with weight loss or difficulty maintaining weight due to symptoms such as decreased appetite, malabsorption, and increased metabolic demands from inflammation.
B. Glutamine is an amino acid that may have some benefits in certain medical conditions, but there is limited evidence to support its use in Crohn's disease management. Avoiding glutamine is not a standard recommendation for Crohn's disease.
C. Crohn's disease can cause diarrhea and bowel irregularities, but taking mild laxatives is not typically recommended as part of the management plan. In fact, laxatives may worsen symptoms in some cases.
D. Limiting the amount of fiber in the diet can help reduce gastrointestinal symptoms such as diarrhea, abdominal pain, and bowel obstructions, which are common in Crohn's disease.

A. Instruct the client to take prescribed anticholinesterase with meals. B. Position the head of the client's bed to 40° while eating. C. Provide the client with food cut into small bites. D. Encourage the client to lie down after eating.

Correct Answer is B

Explanation

A. Anticholinesterase medications, such as pyridostigmine, are commonly prescribed for myasthenia gravis. They should be taken as prescribed by the healthcare provider, usually on an empty stomach, to optimize absorption.
B. Positioning the head of the client's bed to 40° while eating helps prevent aspiration and choking by facilitating swallowing in clients with myasthenia gravis.
C. Providing the client with food cut into small bites can make swallowing easier but does not address the risk of aspiration associated with myasthenia gravis.
D. Encouraging the client to lie down after eating increases the risk of aspiration and should be avoided in clients with myasthenia gravis.

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has a new diagnosis of Crohn's disease. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who has myasthenia gravis. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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