A nurse is completing the 8-hr 1&0 record for a client who consumed 4 oz of clear soda, 1 piece of toast, 12 oz of water, 1 cup of fruit-flavored gelatin, and 1/2 cup of chicken broth.

The client also received 300 mL of 0.9% sodium chloride IV. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number.)mL.

Answer and Explanation

The Correct Answer is ["1128"]

The correct answer is 1420 mL.

Calculation:

Convert all intake to mL:

4 oz soda = 118 mL
12 oz water = 355 mL
1 cup gelatin = 237 mL
1/2 cup broth = 118 mL
300 mL IV fluid = 300 mL

Add all intake: 118 mL + 355 mL + 237 mL + 118 mL + 300 mL = 1128 mL

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Correct Answer is C

Explanation

Choice A rationale:

This statement is incorrect because the pulmonary vein carries oxygenated blood from the lungs to the left atrium, not from the left ventricle.

Choice B rationale:

This statement is incorrect because the pulmonary artery carries deoxygenated blood from the right ventricle to the lungs, not from the left ventricle.

Choice C rationale:

This statement is correct. When the left ventricle contracts, it pushes blood through the aortic semilunar valve into the aorta, the largest artery in the body.

Choice D rationale:

This statement is incorrect because the inferior vena cava carries deoxygenated blood from the lower half of the body to the right atrium, not from the left ventricle.

A. Encourage range-of-motion exercises of the foot. B. Provide the client with a light snack. C. Apply ice to the ankle. D. Apply a compression bandage. E. Elevate the foot.

Correct Answer is ["C","D","E"]

Explanation

Choice A rationale:

Encouraging range-of-motion exercises of the foot is not advisable because it can cause further injury to the ankle.

Choice B rationale:

Providing the client with a light snack is not directly related to the care of an ankle injury.

Choice C rationale:

Applying ice to the ankle can help reduce swelling and pain.

Choice D rationale:

Applying a compression bandage can help reduce swelling.

Choice E rationale:

Elevating the foot can help reduce swelling by promoting venous return.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with CAD is asking the nurse about the mechanisms of the heart.It would be appropriate for the nurse to respond that when the left ventricle contracts, it pushes blood through the semilunar valve to the:

Correct Answer is C

Explanation

A nurse in an urgent care center is caring for a client who fell and injured her ankle.The ankle appears swollen and ecchymotic.While the client waits for the x-ray technician, which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)

A nurse is caring for a client who is receiving IV dextrose 5% in 0.9% sodium chloride at 75 mL/hr. When the nurse checks the client's IV bag at 0700, 300 mL remain in the bag. At what time should the nurse hang a new bag of IV fluid? (Use the military format, four-digit number to enter the time.)

A nurse is reinforcing discharge teaching with a client who has acute pancreatitis and a prescription for fat-soluble vitamin supplements.Which of the following supplements should the nurse include in the teaching?

A nurse is preparing to administer oral potassium for a client who has a potassium level of 5.5 mEq/L. Which of the following actions should the nurse take first?

A nurse is caring for a client who is conscious and has an airway obstruction.Which of the following actions should the nurse take?

A nurse is teaching a client who has HTN about decreasing sodium intake.Which of the following info should the nurse include in the teaching?

A nurse is measuring the vital signs of a client he suspects has hypovolemic shock.Which of the following findings should the nurse expect?