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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

Explanation

Choice A rationale: This does not match the peak time of NPH insulin.
Choice B rationale: This does not match the peak time of NPH insulin.
Choice C rationale: This does not match the peak time of NPH insulin.
Choice D rationale: This is because NPH insulin is an intermediate-acting insulin that has an onset of action of 1 to 2 hours, a peak of 6 to 12 hours, and a duration of 18 to 24 hours. Therefore, if Albert is given NPH insulin at 0730, the peak effect will occur between 1330 and 1930, which means that his blood glucose level will be lowest during this time.

A. Post a sign at the bedside warning against venipunctures or blood pressures in the left arm. B. Obtain a permanent breast prosthesis before the patient is discharged from the hospital. C. Teach the patient to use the ordered patient-controlled analgesia every 10 minutes. D. Insist that the patient examine the surgical incision when the initial dressings are removed.

Correct Answer is A

Explanation

Choice A rationale: Post-surgery, there's a risk of lymphedema in the affected arm, so avoiding procedures like venipuncture or blood pressure measurements in the left arm helps prevent complications.

Choice B rationale: Obtaining a permanent breast prosthesis is a consideration post- recovery but not an immediate priority upon return to the surgical unit.

Choice C rationale: Patient-controlled analgesia instructions are important but don't specifically address immediate care after mastectomy.

Choice D rationale: Insisting that the patient examine the surgical incision might not be appropriate upon return to the unit, and it's typically done by healthcare professionals during dressing changes.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Which nursing action should be included in the plan of care for a patient returning to the surgical unit after a left modified radical mastectomy with dissection of axillary lymph nodes?

Correct Answer is A

Explanation

After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the client's electronic medical record? (Select all that apply.)

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When planning care for a client with right ureteral renal calculi, which of the following nursing diagnosis has the less priority of care while caring for this patient?

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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

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