A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and a prescription to receive 25 mL of fluid replacement every 4 hr for each 100 mL of output. The client's output over the last 4 hr was 500 mL. How much water should the nurse administer to the client? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["125"]
500 mL output ÷ 100 mL = 5
5 × 25 mL = 125 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Increased fiber in the diet:
Incorrect. Increased fiber prevents constipation by promoting regular bowel movements.
B. Inadequate fluid intake:
Not drinking enough fluids leads to hard, dry stool, which is harder to pass.
C. Ignoring the urge to defecate:
Repeatedly ignoring the urge can cause stool to become hard and impacted.
D. Excessive laxative use:
Overuse can lead to dependence and loss of normal bowel function, worsening constipation long-term.
E. Increased activity:
Incorrect. Regular activity helps stimulate peristalsis, reducing constipation.
Correct Answer is B
Explanation
A. Difficulty hearing some types of sounds:
Hearing loss is not a complication of immobility. It may be age-related (presbycusis), but not directly related to being bedridden.
B. A reddened area over the sacrum:
This is an early sign of a pressure injury, a common complication of immobility due to sustained pressure on bony prominences.
C. Stiffness in the lower extremities:
While stiffness can occur with immobility, it is expected and not a complication. It doesn’t represent a pathologic change the way skin breakdown does.
D. Difficulty moving the upper extremities:
This could be a residual effect of the stroke, not necessarily a complication of immobility.
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