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 D
Explanation
A) The client is carrying more than one fetus:
This condition is known as polyzygotic multiples (e.g., twins, triplets) and is not the definition of polyhydramnios. Polyhydramnios refers specifically to the excessive accumulation of amniotic fluid in a singleton pregnancy.
B) There is an elevated level of alpha-fetoprotein (AFP) in the amniotic fluid:
An elevated level of alpha-fetoprotein (AFP) in the amniotic fluid is associated with neural tube defects and other fetal abnormalities. However, this is not the definition of polyhydramnios.
C) The fetus is likely to have a congenital anomaly, be growth restricted, or demonstrate fetal distress during labor:
While polyhydramnios can sometimes be associated with fetal anomalies, growth restriction, or fetal distress during labor, it is not the primary definition of the condition. Polyhydramnios itself refers to the excessive accumulation of amniotic fluid, and its presence does not always indicate fetal anomalies or distress. However, these associations may require further evaluation and monitoring during pregnancy.
D) An excessive amount of amniotic fluid is present:
Polyhydramnios is a condition characterized by an excessive accumulation of amniotic fluid around the fetus. This excess fluid can lead to complications during pregnancy and labor, including preterm labor, premature rupture of membranes, and postpartum hemorrhage. It can also be associated with maternal diabetes, fetal anomalies, or other underlying maternal or fetal conditions.
Correct Answer is A
Explanation
A. Dyspnea: Terbutaline is a β2-adrenergic agonist that is commonly used to inhibit premature labor by relaxing the uterine smooth muscles. Dyspnea can be a sign of pulmonary edema, which is a serious adverse effect of terbutaline. It should be reported to the provider immediately.
B. Headaches: Headaches are a common side effect of terbutaline but are not typically severe enough to warrant immediate reporting unless they are persistent or severe.
C. Tremors: Tremors are a common side effect of terbutaline due to its action as a sympathomimetic drug. While tremors can be uncomfortable for the client, they are not typically indicative of a severe adverse reaction.
D. Nervousness: Nervousness is another common side effect of terbutaline but does not typically require immediate reporting unless it becomes severe or persistent
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