A client remains on strict measurement of intake and output (1&O) on the second postoperative day. During breakfast, the client consumed 4 ounces of a protein shake, a cup of black coffee, and 6 ounces of apple juice. How many mL should the nurse document in the client's record? (Enter numerical value only.)

Answer and Explanation

The Correct Answer is ["532"]

1 ounce (oz) is approximately equal to 29.5735 milliliters (mL).

Given that the client consumed:

4 ounces of protein shake
1 cup (which is typically 8 fluid ounces) of black coffee
6 ounces of apple juice

Calculation

Protein shake: 4 ounces 29.5735 mL/ounce = 118.294 mL
Black coffee: 8 ounces 29.5735 mL/ounce = 236.588 mL
Apple juice: 6 ounces 29.5735 mL/ounce = 177.441 mL

Summing up the intake:

Total intake = Protein shake + Black coffee + Apple juice Total intake = 118.294 mL + 236.588 mL + 177.441 mL Total intake = 532.323 mL

Rounded off to the nearest whole number = 532mL

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Correct Answer is C

Explanation

A. Bunions. While bunions can be uncomfortable and affect mobility, they are not directly related to nutritional status and may not require immediate nutritional assessment.
B. Sweaty palms. Sweaty palms can be a normal physiological response or related to factors such as anxiety or hyperhidrosis. It is not typically indicative of a nutritional issue.
C. Fatigue. Fatigue can be a symptom of various nutritional deficiencies or imbalances, including inadequate calorie intake, insufficient carbohydrate intake, or deficiencies in vitamins and
minerals such as iron or B vitamins. Further assessment is needed to determine the cause of the fatigue and whether it is related to the client's nutritional status.
D. Dry skin. Dry skin can also be a symptom of various issues, including dehydration, environmental factors, or skin conditions. While it can sometimes be associated with nutritional deficiencies, fatigue is a more concerning symptom in a professional dancer, as it can significantly affect performance and may indicate underlying nutritional issues.

A. Cherries and cranberries. B. Apples and blueberries. C. Carrots and green beans. D. Avocados and bananas.

Correct Answer is D

Explanation

A. Cherries and cranberries. These fruits are generally low in potassium and are safe for people with chronic kidney disease (CKD).
B. Apples and blueberries. These fruits are also low in potassium and safe for CKD patients.

C. Carrots and green beans. These vegetables are low in potassium and safe for CKD patients.

D. Avocados and bananas. Both avocados and bananas are high in potassium. Clients with stage 4 CKD need to limit their intake of high-potassium foods to prevent hyperkalemia, which can be dangerous given their impaired kidney function.

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Naxlex Comprehensive Predictor Exams

The nurse is performing a nutritional assessment on a client who is a professional dancer. Which issue reported by the client should alert the nurse to perform further assessment?

Correct Answer is C

Explanation

The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?

Correct Answer is D

Explanation

A medication that causes extreme photosensitivity was recently prescribed for a client. In providing discharge instructions, the nurse should teach this client to increase intake of which foods?

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While caring for a client receiving total parenteral nutrition (TPN), it is most important for the nurse to monitor which of the client's laboratory values?

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