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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

Answer and Explanation

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.)

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Correct Answer is ["B","D"]

Explanation

Choice A rationale: While the temperature is important in assessing health, it isn't the most concerning finding in this scenario compared to others.

Choice B rationale: A thready pulse (a weak, barely palpable pulse) could indicate a critical drop in blood pressure and cardiac output, which is a significant concern.

Choice C rationale: While indicating a possible issue with hydration, it's not as immediately concerning as other findings in this context.

Choice D rationale: Recently lost his job - While this has social and economic implications, it's not an immediate physiological concern in this clinical scenario.

Choice E rationale: While significant in his overall health, it's not a direct finding from the current assessment that immediately raises concern.

A. Altered level of consciousness B. The onset of symptoms is months to years C. Progressively worsens D. May be caused by fluid and electrolyte imbalances or infection E. May be caused by uncontrolled hypertension and diabetes F. May cause impairments in judgment G. Memory impairments

Correct Answer is ["A","D","F"]

Explanation

Choice A rationale: Altered consciousness is a hallmark feature of delirium, where individuals may experience fluctuations in awareness.

Choice B rationale: Delirium typically has an acute onset rather than symptoms developing over months to years.

Choice C rationale: Delirium often has a fluctuating course, rather than a consistent progressive decline.

Choice D rationale: Delirium can result from various factors including fluid/electrolyte imbalances or infections.

Choice E rationale: While these conditions might contribute to cognitive impairments, they are not typically associated with delirium.

Choice F rationale: Delirium can affect judgment, but it's not a defining feature.

Choice G rationale: While memory impairments can be seen in delirium, they're often accompanied by altered consciousness and fluctuations in awareness.

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Naxlex Comprehensive Predictor Exams

The nurse cares for a client with diabetes mellitus and congestive heart failure. Exhibits Which two (2) client findings in the history and physical are most concerning? Select all that apply

Correct Answer is ["B","D"]

Explanation

A client arrives at the clinic with his daughter, reporting memory impairments: Exhibits Which of the following clinical feature are consistent with delirium? Select all that apply?

Correct Answer is ["A","D","F"]

Explanation

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ADH release from the posterior pituitary is stimulated by which process?

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What topic should the nurse plan as a priority to teach a 26-year-old patient who has been treated for pelvic inflammatory disease?

The home health nurse visits a client with chronic diabetes insipidus: Exhibits Which three (4) client statements would indicate a correct understanding of the teaching?