A nurse is completing an 8-hr 1&O 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 ["732"]
To calculate the total intake, we need to convert all measurements to the same unit, in this case, milliliters (mL).
1 ounce (oz) is approximately equal to 29.5735 mL.
Also, it’s important to note that when ice chips melt, they become about half their volume in water. So, 100 mL of ice chips would become about 50 mL of wate
Let’s calculate:
Juice: 4 oz * 29.5735 = 118.294 mL
Tea: 6 oz * 29.5735 = 177.441 mL
Ice chips: 100 mL * 0.5 = 50 mL
IV bolus: 150 mL
Broth: 8 oz * 29.5735 = 236.588 mL
Adding all these together:
118.294 mL (juice) + 177.441 mL (tea) + 50 mL (ice chips) + 150 mL (IV bolus) + 236.588 mL (broth) = 732.323 mL
So, the nurse should record 732 mL of intake on the client’s record (rounded to the nearest whole number).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Keep four side rails up while the client is in bed:
This action is not directly related to the care of a client in active labor. Side rails should be used based on the client's mobility status and fall risk, not specifically because the client is in labor.
B) Monitor the fetal heart rate (FHR) every hour:
Fetal heart rate monitoring is essential during labor, but hourly monitoring may not be frequent enough to detect changes in fetal status. Continuous or more frequent monitoring is typically indicated during active labor.
C) Check the cervix prior to analgesic administration:
This is an essential action as it ensures that analgesic administration is appropriate based on the client's cervical dilation. Administering analgesics when the cervix is fully dilated can increase the risk of neonatal depression. Therefore, assessing the cervix before administering analgesia is crucial.
D) Insert an indwelling urinary catheter:
Routine urinary catheterization during labor is not recommended unless medically necessary. There is no indication in the scenario that suggests the need for catheterization.
Correct Answer is A
Explanation
A) Peanut butter:
Peanut butter is high in phenylalanine, the amino acid that individuals with phenylketonuria (PKU) are unable to metabolize properly. Therefore, individuals with PKU should avoid consuming foods high in phenylalanine, such as peanut butter.
B) Broccoli
C) Apple juice
D) Potatoes:
These foods are low in phenylalanine and do not need to be eliminated from the client's diet. In fact, they can provide essential nutrients during pregnancy. However, the client should be encouraged to consume foods that are low in phenylalanine to prevent complications associated with PKU.
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