A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL. Intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["440"]
To calculate the client's net fluid intake, we need to subtract the output (emesis and urine) from
the intake (IV infusion and IV bolus). Intake:
- 0.9% sodium chloride IV infusion: 600 mL
- Cefazolin in dextrose 5% in water IV bolus: 100 mL Output:
- Emesis: 200 mL
- Voided urine: 40 mL
- Urine from straight catheterization: 20 mL Net fluid intake = Intake - Output
Net fluid intake = (600 mL + 100 mL) - (200 mL + 40 mL + 20 mL) Net fluid intake = 700 mL - 260 mL
Net fluid intake = 440 mL
Therefore, the nurse should record the client's net fluid intake as 440 mL.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
In general, the legal guardian or parent of the infant is usually required to sign the consent form. In the given options, the most appropriate individual to sign the consent form for the infant's surgery would be the infant's 17-year-old mother. In many jurisdictions, a parent under the age of 18 is still considered the legal guardian of their child and is authorized to make decisions on behalf of the infant. However, it is important to note that the specific legal requirements may
Correct Answer is A
Explanation
When a client is at risk for thrombus formation (formation of blood clots), it is important to promote circulation and prevent blood stasis. Regular leg exercises help to promote blood flow and prevent the formation of blood clots. Performing leg exercises once every 4 hours while awake is a good approach to maintaining circulation.
Massaging the legs when they hurt may provide temporary relief, but it does not address the underlying risk of thrombus formation. Massage should not be relied upon as the primary method of preventing blood clots.
Crossing the legs while sitting can impede blood flow and increase the risk of blood clot formation. It is important to encourage the client to avoid crossing their legs and to maintain proper leg positioning to promote circulation.
Limiting the time spent sitting in a chair is a valid consideration for promoting circulation and reducing the risk of blood clots. However, it does not provide a clear understanding of how often the client should perform leg exercises or the specific actions to take while sitting.
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