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.)

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Acetaminophen does not affect kidney function or contrast dye metabolism.

B. Metformin should be withheld 24-48 hours before and after contrast dye administration to reduce the risk of lactic acidosis, especially in clients with impaired renal function.

C. Atenolol, a beta-blocker, does not interfere with contrast dye.

D. Prednisone is not contraindicated in contrast studies unless the client has an allergy to the dye.

A. Calcium B. Potassium C. Iron D. Magnesium

Correct Answer is B

Explanation

A. Calcium – Spironolactone does not significantly impact calcium levels, so avoiding calcium supplements is unnecessary.

B. Potassium – This is the correct answer. Spironolactone is a potassium-sparing diuretic, which can lead to hyperkalemia. Clients should avoid potassium supplements and potassium-rich foods to prevent dangerous elevations in serum potassium levels.

C. Iron – Spironolactone does not have a direct effect on iron metabolism, so iron supplementation is not contraindicated.

D. Magnesium – Although spironolactone does not have a strong impact on magnesium levels, excessive magnesium intake is not a primary concern with this medication.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication administration record of a client who is to undergo excretory urography using contrast dye. The nurse should plan to withhold which of the following medications 24 to 48 hr before the procedure?

Correct Answer is B

Explanation

A nurse is caring for a client who has a new prescription for spironolactone and reports that he forgot to tell the provider that he takes over-the- counter supplements. The nurse should instruct the client to avoid which of the following supplements?

Correct Answer is B

Explanation

A nurse is reviewing the results of laboratory screenings for a 9-month-old infant. Which of the following results should the nurse report to the provider?

A nurse is caring for a client who is postoperative following abdominal surgery. The client reports feeling like "something opened up." The nurse peels back the dressing to find separation of the incision with protrusion of intestinal tissue. Which of the following actions should the nurse take?

A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following food choices by the client indicates an understanding of the teaching?

A nurse is caring for four children in an emergency department. Which of the following clients should the nurse assess first?

A nurse is caring for a client who has deep-vein thrombosis and a new prescription for antiembolitic stockings. Which of the following actions should the nurse take?

A charge nurse observes smoke coming from a trash receptacle in the unit's waiting room. Which of the following actions should the nurse take first?

A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?