A nurse is completing an 8-hr 1&0 record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

Answer and Explanation

The Correct Answer is ["740"]

4 oz juice → 120 mL
6 oz tea → 180 mL
100 mL ice chips → 50 mL (Ice chips are counted as half their volume when melted)
IV bolus → 150 mL
8 oz broth → 240 mL

Total intake:

120+180+50+150+240=740 mL120 + 180 + 50 + 150 + 240=740 mL

Correct answer: 740 mL

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. A 5-year-old child who ignores the urge to defecate owing to embarrassment. Ignoring the urge to defecate slows peristalsis, leading to constipation.

B. A 40-year-old female with major depressive disorder. Depression is more likely to cause decreased peristalsis and constipation.

C. An 80-year-old male in an assisted-living environment. Aging typically slows peristalsis, leading to constipation.

D. A 21-year-old female with three final examinations on the same day. Stress and anxiety stimulate the sympathetic nervous system, increasing peristalsis and leading to diarrhea.

A. Continuous output from the stoma B. Presence of blood in the stool C. Malodorous Stool D. Liquid consistency with hard stool particles

Correct Answer is B

Explanation

A. Continuous output from the stoma. Ileostomies typically have continuous liquid output, which is expected.

B. Presence of blood in the stool: Blood in the stool can indicate stomal irritation, ulceration, or bleeding from the intestines, which requires immediate medical attention.

C. Malodorous stool. While foul-smelling stool can suggest an issue (e.g., infection), it is not necessarily an emergency.

D. Liquid consistency with hard stool particles. Ileostomy output is expected to be liquid, and occasional solid particles may occur if certain foods are not fully digested.

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A nurse is completing an 8-hr 1&0 record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

Nursing Test Bank

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Which patient is most at risk for increased peristalsis

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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