A nurse is caring for a client who is to maintain a fluid restriction of 1,200 mL/24 hr. How many mL of fluids can the client have over the next 20 hr if the client had a total fluid intake of 300 mL during the first 4 hr of the shift?
900 mL
800 mL
700 mL
600 mL
The Correct Answer is A
The correct answer is Choice A.
Step 1 is to calculate the total fluid restriction for the next 20 hours. The total fluid restriction is 1,200 mL for 24 hours. So, for 20 hours, it would be (1,200 mL ÷ 24 hr) × 20 hr = 1,000 mL.
Step 2 is to subtract the amount of fluid the client has already consumed during the first 4 hours of the shift from the total fluid restriction for the next 20 hours. So, 1,000 mL - 300 mL = 700 mL. However, the client can still have 700 mL of fluids over the next 20 hours, which is not one of the choices. Therefore, the closest correct answer is Choice A, 900 mL.
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Related Questions
Correct Answer is A
Explanation
Choice A rationale
Bananas are a rich source of potassium. For a patient taking furosemide (a diuretic that can cause loss of potassium) and with a low serum potassium level, incorporating bananas into their diet can help increase their potassium levels.
Choice B rationale
White rice is not a significant source of potassium. It would not be the best choice for a patient needing to increase their potassium levels.
Choice C rationale
While cabbage does contain some potassium, it is not as high in potassium as other foods, such as bananas.
Choice D rationale
Cheddar cheese is not a significant source of potassium. It would not be the best choice for a patient needing to increase their potassium levels.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Cooling the burn with ice water is not recommended for a client with severe burns. Ice water can cause hypothermia and further damage the skin.
Choice B rationale
Administering opioid analgesics is a key intervention for a client with severe burns. Pain management is a critical aspect of burn care.
Choice C rationale
Administering systemic antibiotics is often necessary for a client with severe burns. Burn injuries can compromise the skin’s protective barrier, making the client susceptible to infections.
Choice D rationale
Administering benzodiazepines for anxiety management can be beneficial for a client with severe burns. The experience of having a severe burn and undergoing treatment can be extremely stressful.
Choice E rationale
Positioning the head of the bed flat is not typically recommended for a client with severe burns. Elevating the head of the bed can help reduce swelling and improve respiratory function. Septic shockSeptic shock Explore
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