A client is admitted to the unit at 1500. The provider has prescribed a full liquid diet for the client. The client ingests the following from 1600 to 2115:
- Chicken broth: 120 mL
- Tea: 4 ounces
- Ice cream: 1 cup
- Soda: 6 ounce can
- Water: 550 mL
- Ice chips: 500 mL
The client voids the following:
- At 1530: 400 mL
- At 2015: 775 mL
- At 2245: 200 mL
Calculate the cumulative fluid intake for the 3 p.m. to 11 p.m. shift. Note that intake and output is calculated at 2200 for the 3 p.m.-11 p.m. shift. (Round to the nearest whole number, use a preceding zero, do not use trailing zeros)
The Correct Answer is ["1705"]
To calculate the cumulative fluid intake for the client from 3 p.m. to 11 p.m., convert all measurements to the same unit and then sum them up.
First, convert ounces to milliliters (1 ounce = 29.5735 ml). The tea is 4 ounces, which is approximately 118 ml, and the soda is 6 ounces, approximately 177 ml.
Add all the liquid intake: chicken broth (120 ml) + tea (118 ml) + ice cream (assumed to be 240 ml for 1 cup) + soda (177 ml) + water (550 ml) + half the volume of ice chips (as half the volume of ice chips is water, so 250 ml). The total intake is 120 + 118 + 240 + 177 + 550 + 500= 1705 ml.
Since the intake and output are calculated at 2200, and the client has not consumed anything after 2115, the cumulative fluid intake for the shift is 1705 ml.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Such an assessment helps in determining the level of assistance the client will need and ensures the safety of both the client and the nurse.
A. Helping the client to sit at the edge of the bed allows them to acclimate to being upright, assess their readiness to stand, and ensures their safety before attempting to walk. However, it is not the priority.
C. After assisting the client to a sitting position at the edge of the bed and assessing their readiness, the nurse can proceed to help the client into a standing position. However, it is not the priority.
D. This option may be necessary if the client requires two-person assistance due to their condition, mobility status, or safety concerns. However, asking for assistance typically comes after assessing the client's readiness and ensuring they are positioned correctly for ambulation.
Correct Answer is C
Explanation
C. Yogurt contains probiotics, which are beneficial bacteria that can help restore and maintain a healthy balance of gut flora. Consuming yogurt with live cultures regularly is a recognized strategy to replenish beneficial bacteria in the gut, especially after a period of diarrhea or antibiotic use that may disrupt the normal gut microbiota.
A. This statement is related to the management of infection and antibiotic therapy, not specifically to reestablishing bowel flora. While stopping antibiotics appropriately is important for overall health and possibly reducing antibiotic-associated diarrhea, it does not directly address the replenishment of bowel flora.
B. Rice is often recommended during episodes of diarrhea to provide bland, easily digestible food. However, it does not actively contribute to reestablishing healthy bowel flora. It helps in managing symptoms but does not address the restoration of beneficial gut bacteria.
D. Hydration is essential during episodes of diarrhea to prevent dehydration. While adequate hydration supports overall health and can aid in recovery, it does not specifically address the restoration of bowel flora.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
