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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 ["B","C","D"]

Explanation

A. Dancing, although it can involve movement and stress on the body, is not as directly associated with aggravating a herniated disc compared to the other listed factors.

B. Sneezing and coughing can increase intra-abdominal pressure and aggravate a herniated disc by putting more stress on the affected area of the spine.

C. Lifting a heavy box from a high position requires bending and twisting, which can exacerbate a herniated disc.

D. Prolonged standing or sitting can increase pressure on the spine, especially in the lower back, and aggravate symptoms of a herniated disc.

E. Lying down generally relieves pressure on the spine and is less likely to aggravate a herniated disc.

A. Explain the importance of increasing activity gradually. B. Have the client demonstrate use of assistive devices. C. Discuss use of abductor pillow between thighs when turning in bed. D. Tell the client to ambulate with open-toed house shoes. E. Instruct the client not to take medication prior to ambulating

Correct Answer is ["A","B","C"]

Explanation

A. Gradually increasing activity helps in recovery and prevents complications like blood clots.

B. Having the client demonstrate the use of assistive devices ensures proper use and safety during ambulation.

C. Using an abductor pillow helps maintain hip alignment and prevents dislocation while turning in bed.

D. Open-toed house shoes are not recommended as they do not provide adequate support or protection.

E. It is important for the client to manage pain appropriately, including taking medication before activities such as walking.

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Naxlex Comprehensive Predictor Exams

A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (SELECT ALL THAT APPLY)

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

Explanation

Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C"]

Explanation

A client returns to the unit after undergoing a total hip replacement with a cemented prosthesis. Which order should the nurse anticipate regarding weight bearing status?

The nurse is caring for a client who has been treated with skeletal traction for two weeks. What are the priorities of care? (SELECT ALL THAT APPLY

The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

A client with arthritis is prescribed ibuprofen 800 mg PO TID for pain reduction in the knee. The nurse should instruct the client to report which of the following side effects to the physician? (SELECT ALL THAT APPLY)

Which of these education points would be MOST helpful for the nurse give to a individual with osteoarthritis? (SELECT ALL THAT APPLY).

A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

A nurse is caring for a client postoperative closed reduction of the left ankle with a short cast in place. Which assessments of the client's affected leg should the nurse make? (SELECT ALL THAT APPLY)

A client has undergone a laminectomy and diskectomy at L3-4 and L4-5 with spinal fusion at those levels. Postoperatively the nurse would expect to include in the client's care which of the following?