A nurse is recording the intake and output (I&O) for a client.
The client consumed 8 oz of milk, 10 oz of water, 4 oz of gelatin, 1 egg, 1 piece of bacon, and 2 biscuits.
Which volume should the nurse record on the I&O?
The Correct Answer is ["660"]
Step 1: Convert all liquid intake to mL: 8 oz of milk = 8 oz × 30 mL/oz = 240 mL 10 oz of water = 10 oz × 30 mL/oz = 300 mL 4 oz of gelatin = 4 oz × 30 mL/oz = 120 mL
Step 2: Sum the liquid intake: Total intake = 240 mL + 300 mL + 120 mL = 660 mL
The nurse should record 660 mL on the I&O.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Isopropyl alcohol is effective for general disinfection but is not the best choice for cleaning blood spills because it does not completely eliminate all pathogens, especially certain viruses like hepatitis B.
Choice B rationale
Hydrogen peroxide is not typically used for blood spills as it is less effective against certain pathogens compared to other disinfectants and can potentially damage surfaces over time.
Choice C rationale
Chlorhexidine gluconate is used for skin antisepsis rather than environmental disinfection. It is not the best option for cleaning blood spills due to its limited efficacy against all bloodborne pathogens.
Choice D rationale
Chlorine bleach is the recommended solution for cleaning blood spills as it is highly effective in killing a wide range of pathogens, including viruses like HIV and hepatitis B, ensuring a safe and sanitized area.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
The correct answer is Constipation / Opioid use.
Constipation is a common side effect of opioid use. The client is receiving oxycodone for pain management, which can slow down the digestive system, leading to constipation.
Pressure injuries, also known as pressure ulcers or bedsores, are a risk due to prolonged immobility. This is especially relevant for a client who is postoperative and has limited movement. However, this was not selected as the primary condition based on the given clues.
Hypoglycemia (low blood sugar) is not directly indicated by the client's current medications or conditions. The client is receiving IV dextrose, but there is no indication of a risk of hypoglycemia in the provided information.
Confusion can occur in clients with cognitive impairments or due to medication side effects, but it is not specifically indicated as a primary risk in this case.
Dysrhythmias (abnormal heart rhythms) can be caused by imbalances in potassium or sodium levels, among other factors, but there is no evidence of such imbalances or related symptoms in this client’s case.
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