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 B
Explanation
A) Blood pressure 148/98 mm Hg:
This blood pressure reading is consistent with the diagnosis of preeclampsia. Elevated blood pressure is a hallmark sign of preeclampsia.
B) Deep tendon reflexes of +1:
Deep tendon reflexes of +1 are within the normal range and are not consistent with preeclampsia. In preeclampsia, deep tendon reflexes are often brisk or hyperactive due to central nervous system irritability.
C) 1+ pitting sacral edema:
Pitting edema is a common finding in preeclampsia due to fluid retention. Therefore, this finding is consistent with the diagnosis.
D) 3+ protein in the urine:
Proteinuria, indicated by 3+ protein in the urine, is a characteristic feature of preeclampsia and is consistent with the diagnosis.
Correct Answer is B
Explanation
A) Increasing abdominal pain with a non-relaxed uterus:
This finding is more characteristic of placental abruption, where there is premature separation of the placenta from the uterus, often accompanied by significant pain and a tense, board-like uterus.
B) Painless red vaginal bleeding:
Painless red vaginal bleeding is the hallmark sign of placenta previa. In placenta previa, the placenta partially or completely covers the cervix, leading to painless bleeding, especially in the third trimester.
C) Intermittent abdominal pain following passage of bloody mucus:
This description is more indicative of labor onset or cervical changes rather than placenta previa. Bloody show, which is the passage of bloody mucus, typically occurs as labor begins.
D) Abdominal pain with scant red vaginal bleeding:
This combination is not typical of placenta previa. While there can be bleeding, placenta previa is usually painless. This description may fit other complications, such as placental abruption, though usually, the bleeding in abruption is not scant.
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