A nurse has administered 5 mL of medication to a client via NG tube. They used 30 mL of water to flush the tube both before and after the instillation. The nurse should document which of the following amounts as liquid intake for the client?

A. 65 mL: The total liquid intake includes 30 mL of water used to flush the NG tube before the medication, 5 mL of medication instilled, and 30 mL of water used to flush the tube afterward. Adding these together gives 65 mL, which accurately reflects all fluids administered.

B. 5 mL: Documenting only the medication omits the water used for flushing, underrepresenting the client’s total fluid intake.

C. 35 mL: This amount accounts only for the post-flush water and medication, it ignores the pre-flush water, resulting in an inaccurate intake record.

D. 60 mL: This underestimates the total intake by failing to include all three components correctly; precise documentation is essential for fluid balance monitoring.

A. "I should breathe normally while I am performing this relaxation technique.": Progressive relaxation often involves focused, deep, and controlled breathing to enhance muscle relaxation. Simply breathing normally may not maximize the effectiveness of the technique.

B. "I should imagine myself in a peaceful, garden-like setting as I begin.": Visualizing a calming scene is a technique used in guided imagery, not progressive muscle relaxation. While relaxation may result, this reflects a different stress-reduction method.

C. "I'll compare the sensations I feel when I tense my muscles to what I feel when I relax them.": Progressive relaxation involves systematically tensing and then relaxing specific muscle groups while focusing on the contrast in sensations.

D. "I'll use a series of stretches when I practice this technique.": Stretching is part of physical exercise routines and differs from progressive relaxation. The focus in progressive relaxation is on controlled tension and release of muscle groups, not performing stretches.