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

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale:

Applying a warm pack can increase swelling and pain, so it is not recommended.

Choice B rationale:

Removing the stinger by scraping it off with a knife blade can help to reduce the amount of venom that is released into the body.

Choice C rationale:

Applying a tourniquet can restrict blood flow and cause more harm than good.

Choice D rationale:

Sucking the wound can introduce bacteria and cause infection, so it is not recommended.

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 nurse is reinforcing teaching with a group of clients about first aid care for a bee sting.Which of the following information should the nurse reinforce in the teaching?

Correct Answer is B

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 client who is postoperative is receiving IV fluids and a unit of whole blood. The nurse should observe the client for which of the following as an early sign of circulatory overload?

A nurse collecting data on a client who has vitamin C deficiency.Which of the following findings should the nurse expect?

A nurse is collecting data about the fluid status of four clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?

The nurse is educating her patient on the pumping efficacy of the heart.The nurse knows that the patient understands the teaching when the patient states:

A nurse is shopping and finds a woman who has collapsed with right-sided weakness and slurred speech.Which of the following actions should the nurse take?

A nurse is caring for a client who has a potassium deficiency.Which of the following foods should the nurse recommend as the best source of potassium?

A nurse is attending a seminar about blood flow through the heart.The hospital MD is conducting an inservice about blood flow in veins and arteries.In the circulatory system, generally,.

A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock.Which of the following findings should the nurse expect?