A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 oz of flavored gelatin and 1 banana. During the same shift, this client receives 1 liter of IV fluid and voids 700 mL. How many mL total oral and IV intake should the PN document on the client's medical record? (Enter numeric value only.)
The Correct Answer is ["1480"]
Convert all oral fluid intake from ounces (oz) to milliliters (mL)
conversion factor of 1 oz = 30 mL.
Broth: 8 oz x 30 mL/oz = 240 mL
Apple juice: 4 oz x 30 mL/oz = 120 mL
Flavored gelatin: 4 oz x 30 mL/oz = 120 mL
Convert the IV fluid intake from liters (L) to milliliters (mL).
Conversion factor = 1 L = 1000 mL
IV fluid: 1 L x 1000 mL/L = 1000 mL
Sum all the fluid intake volumes (oral and IV).
Total Intake (mL) = (Broth + Juice + Gelatin) + IV Fluid
Total Intake (mL) = (240 mL + 120 mL + 120 mL) + 1000 mL
= 480 mL + 1000 mL
= 1480 mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Suggest going to the nurses' lounge if she needs to discuss these topics: Redirecting the colleague to a private area maintains workplace decorum, protects client confidentiality, and upholds the professional image of nursing without escalating the situation unnecessarily.
B. Determine if the conversation was overheard by the clients: While it may be helpful to assess whether clients or visitors overheard the discussion, this action does not address the unprofessional behavior directly.
C. Ask the PN to lower her voice when visitors walk by: Merely lowering her voice does not resolve the issue of inappropriate conversation topics in a professional setting. The goal is to move the discussion to a private area, not simply make it quieter.
D. Report the situation to the nursing supervisor or peer review committee: Reporting to a supervisor should be reserved for repeated or severe unprofessional conduct. In this case, a direct and respectful peer intervention is sufficient and aligns with collegial accountability.
Correct Answer is A
Explanation
A. Hemoglobin 8.9 grams/dL: This value is significantly below the normal range and indicates anemia, likely from perioperative blood loss. Low hemoglobin can compromise oxygen delivery to tissues, increase risk for hypoxia, delay healing, and may require urgent intervention such as transfusion or close monitoring.
B. Sodium 130 mEq/L: Mild hyponatremia requires monitoring and assessment for symptoms like confusion or weakness, but it is generally less immediately life-threatening than significant anemia in a postoperative client.
C. Potassium 3.4 mEq/L: Mild hypokalemia may predispose the client to arrhythmias, but it is not as immediately critical as severe anemia affecting oxygen-carrying capacity. Monitoring and potassium replacement can be implemented.
D. Blood urea nitrogen 20 mg/dL: This value is at the upper limit of normal and does not indicate acute renal compromise. While it warrants monitoring, it does not pose an immediate threat to client safety in the postoperative setting.
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