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A client is admitted at 0700 with severe dehydration. The doctor orders D5W to run at 150 ml/hr. The client is ordered an IVPB antibiotic every 4 hours, that will be administered in 50 ml of IV fluid over 1 hour. The antibiotic is scheduled to start at 0800. The client is permitted liquids and takes the following: 4 oz gelatin 10 oz apple juice 500 ml of water 16 oz of ice chips which is consumed by the end of the shift Urine output is as follows: At 0900: 100 mL 1100: 250 mL 1330: 290 mL 1445: 250 ml At 1200, the client had 300 mL of a diarrhea stool. Calculate the cumulative fluid balance for the 0700-1500 shift.* *At this institution, Intake/Output is calculated at 1500 for the 0700-1500 shift.

Answer and Explanation

The Correct Answer is ["1270"]

Intake:

IV Fluids:

D5W: 150 ml/hr from 0700 to 1500 (8 hours) = 150 ml/hr * 8 hr = 1200 ml

Antibiotic: 50 ml every 4 hours, starting at 0800. So, it will be administered at 0800 and 1200 = 50 ml * 2 = 100 ml

Oral Intake:

Gelatin: 4 oz = 4 * 30 ml = 120 ml

Apple Juice: 10 oz = 10 * 30 ml = 300 ml

Water: 500 ml

Ice Chips: 16 oz (since ice chips are half liquid) = 16 * 30 ml / 2 = 240 ml

Total Intake: 1200 ml (D5W) + 100 ml (Antibiotic) + 120 ml (Gelatin) + 300 ml (Apple Juice) + 500 ml (Water) + 240 ml (Ice Chips) = 2460 ml

Output:

Urine Output:

0900: 100 ml

1100: 250 ml

1330: 290 ml

1445: 250 ml

Diarrhea Stool:

1200: 300 ml

Total Output: 100 ml + 250 ml + 290 ml + 250 ml + 300 ml = 1190 ml

Cumulative Fluid Balance:

Intake - Output: 2460 ml - 1190 ml = 1270 ml

So, the cumulative fluid balance for the 0700-1500 shift is +1270 ml.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Neutropenic precautions are for immunocompromised clients to prevent infections.

B. Airborne precautions are for pathogens spread through the air.

C. Contact precautions prevent the spread of infections through direct or indirect contact.

D. Droplet precautions are for pathogens spread through large droplets.

A. "Daily physical activity will limit mobility to the affected joint." B. "A bed cage is a device to keep bed linens off of painful areas. C. "In osteoarthritis, the body is attacking the joint lining, causing inflammation and joint destruction." D. Injectable corticosteroids are sometimes used when NSAIDS are no longer effective for pain". E. "Safe gradual weight loss will decrease stress on your joints."

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

Explanation

A. Physical activity should be encouraged to maintain mobility, not limit it.

B. A bed cage can help alleviate pain by preventing linens from touching sensitive areas.

C. Osteoarthritis involves the breakdown of cartilage, not an autoimmune attack on the joint lining.

D. Injectable corticosteroids are used when NSAIDs are ineffective.

E. Gradual weight loss reduces stress on weight-bearing joints, alleviating symptoms.

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The nurse is caring for a client newly diagnosed with Clostridium difficile. This client should be placed on which type of precautions?

Correct Answer is C

Explanation

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

Explanation

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