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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The contemplation stage is characterized by the client's acknowledgment of the need for change but having mixed feelings and ambivalence about making the actual change. During this stage, the nurse should provide information and education to the client about the benefits of quitting smoking. This can include discussing the health risks associated with smoking, such as increased risk of cardiovascular diseases, respiratory problems, and certain types of cancer.
Presenting this information can help the client gain a better understanding of the positive impact quitting smoking can have on their health and well-being.
Developing a plan for the client to integrate the change into her lifestyle is more suitable for the preparation stage, where the client is actively planning and preparing to make the behavior change. During the contemplation stage, the client is not yet ready for detailed planning, but rather exploring their feelings and concerns about the behavior change.
Making small changes over time is more aligned with the action stage, where the client is actively making changes to their behavior. In the contemplation stage, the client is not yet ready for making immediate changes and is still weighing the pros and cons of quitting smoking.
Setting goals is more appropriate for the preparation stage, where the client is actively preparing to make the behavior change. During the contemplation stage, the client is still considering the change and may not be ready to set specific goals.
Correct Answer is A
Explanation
Assistive personnel can provide valuable assistance in ambulating clients who have mobility limitations. Assisting a client with ambulation involves helping them move and walk safely, which can aid in improving their lung function and overall pulmonary status. This task typically does not require specialized medical training and can be safely delegated to assistive personnel. Inserting a glycerin suppository for a constipated client requires knowledge of proper insertion technique, potential complications, and the ability to assess the client's response to the intervention. This task is typically performed by licensed nurses.
Irrigating a client's infected surgical wound involves an aseptic technique, knowledge of wound care principles, and the ability to assess the wound for signs of infection or complications. This task is typically performed by licensed nurses or wound care specialists.
Showing a client how to use an incentive spirometer prior to surgery requires knowledge of respiratory physiology, proper technique, and the ability to assess and instruct the client effectively. This task is typically performed by licensed nurses or respiratory therapists.
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