How it Works
Try Naxlex NCLEX-RN (Free-Trial)

The nurse is completing the intake and output record for a preschool-age client admitted for fluid volume deficit.

The client has had the following intake and output during the shift:

Intake:

  • 4 oz of Pedialyte
  • 1/2 of an 8-oz cup of clear orange Jell-O
  • 2 graham crackers
  • 200 mL of D 5-1/2 sodium chloride IV

Output:

  • 345 mL of urine
  • 50 mL of loose stool

The nurse documents the client's intake as milliliters. How much liquidintake did the client have in Milliliters?
Round the answer to the nearest whole number.
Answer and Explanation

The Correct Answer is ["437"]

  • To convert ounces to milliliters, multiply by 29.57
  • 4 oz of Pedialyte = 118.28 mL
  • 1/2 of an 8-oz cup of clear orange Jell-O = 118.28 mL
  • 2 graham crackers = no liquid intake
  • 200 mL of D 5-1/2 sodium chloride IV = 200 mL
  • Total intake = 118.28 + 118.28 + 200 = 436.56 mL
  • Round to the nearest whole number = 437 mL
  • The nurse documents the client's intake as 437 mL


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is A

Explanation

Choice A reason:

Chronic blood loss is a common complication of ulcerative colitis. Inflammation and ulcers in the colon can lead to ongoing bleeding, resulting in iron deficiency anemia.

Choice B reason:

While intestinal malabsorption can occur in some gastrointestinal disorders, it is not a primary mechanism in ulcerative colitis. In ulcerative colitis, the main factor leading to anemia is chronic blood loss.

Choice C reason:

Dietary iron restrictions may exacerbate anemia in individuals with ulcerative colitis, but the primary cause of anemia in this condition is chronic blood loss.

Choice D reason:

Intestinal parasites are not a common factor in ulcerative colitis and are not a primary cause of anemia in this condition. Chronic blood loss is the main contributing factor.

Correct Answer is C

Explanation

Choice A reason:

This statement is not directly related to the client's use of bisacodyl tablets. It addresses irregular bowel movements in a general sense.

Choice B reason:

Decreasing fiber intake is not a recommended approach, especially for an older adult who may benefit from a balanced diet with adequate fiber.

Choice C reason:

This is the correct answer. Excessive use of laxatives, including bisacodyl, can lead to electrolyte imbalances. Bisacodyl is a stimulant laxative that can cause excessive fluid loss and potentially

disrupt electrolyte levels.

Choice D reason:

While chronic use of laxatives can lead to various complications, including potential harm to the rectal mucosa, this choice is not the most appropriate response to the client's current situation.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register