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?
The Correct Answer is ["740"]
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4 oz juice → 120 mL
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6 oz tea → 180 mL
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100 mL ice chips → 50 mL (Ice chips are counted as half their volume when melted)
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IV bolus → 150 mL
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8 oz broth → 240 mL
Total intake:
120+180+50+150+240=740 mL120 + 180 + 50 + 150 + 240=740 mL
Correct answer: 740 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Don't worry, most clients dislike the prep more than the procedure itself." This dismisses the client's concerns rather than addressing them directly.
B. "Before the examination, your provider will give you a sedative that will make you sleepy." This response reassures the client by providing factual information about sedation during the procedure.
C. "After you have signed the consent form, we can talk more about this." This does not directly address the client’s anxiety.
D. "I know you're anxious, but this procedure is recommended for people your age." While screening is important, this response does not alleviate the client’s concerns.
Correct Answer is A
Explanation
A. "You may have pink-tinged urine after this procedure." Minor bleeding and pink-tinged urine are expected due to irritation of the urethra and bladder mucosa during the procedure.
B. "You should limit fluids for 12 hr following the procedure." Fluids should be encouraged to help flush the bladder and prevent infection or clot formation.
C. "You will be placed on your right side during the procedure." Cystoscopy is performed with the client in the lithotomy position (on the back with legs supported in stirrups).
D. "You can eat a full liquid meal up to 1 hour before the procedure."Cystoscopy may require sedation, and clients are typically instructed to be NPO (nothing by mouth) for several hours before the procedure.
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