The nurse determines the total intake for a client diagnosed with acute kidney injury. The client received 650 mL of intravenous fluid, 6 ounces of water, and 8 ounces of chicken broth during the shift.
The client's urinary output for the shift is 820 mL. What is the total intake the nurse will record for this client?
1060 mL
1055 mL
1050 mL
1070 mL
The Correct Answer is D
Choice A rationale: This is not the accurate amount of fluid intake by the patient.
Choice B rationale: This is less than the total fluid intake by the patient.
Choice C rationale: This is less than the total fluid intake by the patient.
Choice D rationale: This is correct.( This is the sum of the intravenous fluid, the water, and the chicken broth, converted to milliliters: 650 + (6 x 30) + (8 x 30) = 1070.)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Cerebral motor cortex primarily controls voluntary movements, not autonomic functions like respiration, heart rate, and blood pressure.
Choice B rationale: The brain stem controls vital functions like respiration, heart rate, and blood pressure, so damage to this area can lead to difficulties in these functions.
Choice C rationale: Broca's area is responsible for speech production and is not directly involved in autonomic functions.
Choice D rationale: The occipital lobe is primarily associated with visual processing and perception, not autonomic functions like respiration or heart rate.
Correct Answer is B
Explanation
Choice A rationale: Redness briefly after removing the appliance might be common due to increased blood flow but does not necessarily indicate an issue.
Choice B rationale: A deep red-purple stoma color can suggest impaired blood supply to the stoma and requires immediate attention.
Choice C rationale: The consistency of output from the colostomy may vary based on the site and type of colostomy and might not necessarily be concerning.
Choice D rationale: The length of the stoma can vary and usually depends on the type of colostomy, and 1/2 inch above the abdomen is within an acceptable range.
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