A nurse is caring for a client who consumes 3 oz of milk, 2 oz of orange juice, 3 oz of tea, and 4 oz of water over a 4-hr period. The client is also receiving dextrose 5% in 0.45% sodium chloride 30 mL/hr by continuous IV infusion. Calculate the client's intake for that 4-hr period in ml. (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["475 "]

To calculate the client's intake for that 4-hr period in ml, we need to convert the liquid amounts from oz to ml using the following formula:

1 ml = oz * 29.5735296

Using this formula, we can convert the milk, orange juice, tea, and water amounts to ml: Milk: 3 oz * 29.5735296 ml/oz = 88.7205888 ml

Orange juice: 2 oz * 29.5735296 ml/oz = 59.1470592 ml

Tea: 3 oz * 29.5735296 ml/oz = 88.7205888 ml

Water: 4 oz * 29.5735296 ml/oz = 118.2941184 ml

The total intake from these liquids is:

88.7205888 + 59.1470592 + 88.7205888 + 118.2941184 = 354.8823552 ml We also need to add the intake from the IV infusion, which is given at a rate of 30 mL/hr for 4 hours:

30 mL/hr * 4 hr = 120 mL

The total intake from the IV infusion is:

120 mL

The total intake for that 4-hr period in ml is:

354.8823552 + 120 = 474.8823552 ml

Rounding the answer to the nearest whole number, we get:

475 ml

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Correct Answer is D

Explanation

The nurse should encourage the client to make choices regarding hygiene, as this respects the client's autonomy and dignity. Suctioning the client's airway every hour is incorrect because it may cause discomfort and distress to the dying client. Offering the client sips of a citrus flavored soda is incorrect because it may irritate the client's mouth and throat, which are often dry and sensitive at the end of life. Positioning the client supine in bed is incorrect because it may increase the risk of aspiration and airway obstruction, as well as pressure ulcers.

A. The client's telephone number B. The client's room number C. The name of the client's next of kin D. The client's admitting diagnosis

Correct Answer is C

Explanation

The name of the client's next of kin. The rationale for this answer is that the name of the client's next of kin is a unique identifier that can be verified by the client or by checking the medical record.

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Naxlex Comprehensive Predictor Exams

A nurse is providing end-of-life care for a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is preparing to administer several medications to a client. Which of the following data should the nurse plan to use to confirm the client's identity?

Correct Answer is C

Explanation

A nurse is testing a client for conduction deafness by performing the Weber's test. Which of the following actions should the nurse take when performing this test?

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