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?

Answer and Explanation

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).

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Correct Answer is ["15"]

Explanation

Prescribed dose per administration: 150 mg

Concentration of amantadine per mL of syrup: 50 mg/5 mL (we can rewrite this concentration as 10 mg/mL, because 50 mg divided by 5 mL is the same as 10 mg divided by 1 mL)

Steps to find the volume to administer:

Calculate the amount of amantadine per 1 mL of syrup: 50 mg / 5 mL = 10 mg/mL

Divide the prescribed dose by the concentration per mL: 150 mg / 10 mg/mL = 15 mL

Since we need to round to the nearest whole number for the amount of medication to administer, the nurse should administer 15 mL of amantadine syrup per dose.

A. Approximated edges of episiotomy B. Deep tendon reflexes 4+ C. Saturated perineal pad in 30 min D. Fundus at level of umbilicus

Correct Answer is C

Explanation

A. Approximated edges of episiotomy: While assessing the healing of the episiotomy is important for the client's comfort and recovery, it is not the priority over assessing for excessive postpartum bleeding, which can indicate postpartum hemorrhage.

B. Deep tendon reflexes 4+: Deep tendon reflexes are typically assessed in postpartum clients, but having them at 4+ does not indicate an urgent priority compared to the potential for postpartum hemorrhage indicated by a saturated perineal pad.

C. Saturated perineal pad in 30 min: This finding indicates excessive postpartum bleeding and requires immediate attention to prevent complications such as postpartum hemorrhage. It is the priority finding because it may indicate a life-threatening situation.

D. Fundus at the level of the umbilicus: While assessing the uterine fundus position is an essential part of postpartum assessment, a fundus at the level of the umbilicus at 4 hours postpartum is considered within normal limits. However, this finding does not take precedence over the assessment and management of excessive postpartum bleeding

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer amantadine 150 mg PO every 12 hr. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["15"]

Explanation

A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?

Correct Answer is C

Explanation

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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?

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