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
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Correct Answer is A
Explanation
A. An albumin level of 2.2 g/dL is critically low (normal: 3.5–5.0 g/dL), indicating severe malnutrition, liver disease, or nephrotic syndrome. This requires immediate reporting for further assessment and intervention.
B. A total cholesterol level of 179 mg/dL is within the normal range (desirable: <200 mg/dL) and does not require reporting.
C. A total thyroxine (T4) level of 9 mcg/dL is within the normal range (4.6–11.2 mcg/dL) and does not indicate a nutritional issue.
D. A calcium level of 9.9 mg/dL is normal (8.5–10.5 mg/dL) and does not require immediate intervention.
Correct Answer is D
Explanation
A. Prednisone should be taken with food to reduce gastrointestinal irritation.
B. Aspirin increases the risk of GI bleeding when taken with prednisone.
C. Prednisone doses should be increased, not reduced, during stress to prevent adrenal insufficiency.
D. This is the correct answer. Weight-bearing exercises like walking help reduce the risk of osteoporosis, a side effect of long-term prednisone use.
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