A nurse is caring for a client who has diabetic ketoacidosis. During the shift, the client received 0.45% sodium chloride IV at 500 mL/hr for 3 hr, then at 200 mL/hr for 3 hr, and then dextrose 5% in water at 75 mL/hr for 2 hr. What is the total volume the nurse should document for the client's IV fluid intake? (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 ["2250"]
To calculate the total volume of IV fluid intake, we need to calculate the volume administered during each time period and then sum them up.
First 3 hours: 500 mL/hr * 3 hr = 1500 mL
Next 3 hours: 200 mL/hr * 3 hr = 600 mL
Last 2 hours: 75 mL/hr * 2 hr = 150 mL
Now, we add these volumes together:
1500 mL + 600 mL + 150 mL = 2250 mL
Therefore, the total volume the nurse should document for the client's IV fluid intake is 2250 mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Beneficence – This principle refers to doing good for the client, such as providing effective care and promoting well-being. While the nurse is educating the client, this action is more about truthfulness than actively promoting well-being.
B. Fidelity – Fidelity refers to maintaining trust and keeping commitments to the client. While honesty builds trust, fidelity is more about keeping promises rather than providing truthful information.
C. Autonomy – Autonomy means respecting a client’s right to make decisions about their care. While education supports informed decision-making, the nurse’s focus in this scenario is on honesty rather than respecting autonomy.
D. Veracity – Veracity refers to truthfulness and honesty in communication. The nurse is providing accurate information about the side effects of transcranial magnetic stimulation, ensuring that the client has correct expectations.
Correct Answer is D
Explanation
A. This describes guided imagery, not progressive muscle relaxation.
B. Writing about emotions is a therapeutic strategy but not progressive relaxation.
C. Thinking about positive outcomes is a cognitive technique, not a physical relaxation method.
D. This is the correct answer. Progressive relaxation involves systematically tightening and relaxing muscle groups, which helps reduce stress and anxiety.
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