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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Repeating the potassium level is not the first action to take. The nurse already has a recent lab value.
Choice B rationale:
The nurse should withhold the medication. The normal range for potassium is 3.5-5.0 mEq/L. A level of 5.5 mEq/L is high, so giving more potassium could lead to hyperkalemia.
Choice C rationale:
Monitoring for paresthesia is important in hyperkalemia, but it is not the first action. The nurse should first prevent further increase in potassium levels.
Choice D rationale:
Administering a hypertonic solution is not relevant in this situation. It does not directly address the high potassium level.
Correct Answer is C
Explanation
Choice A rationale:
This statement is incorrect. Veins do not carry oxygenated blood away from the heart, and arteries do not carry deoxygenated blood toward the heart.
Choice B rationale:
This statement is incorrect. While it is true that veins carry deoxygenated blood, they carry it toward the heart, not away from it. Similarly, arteries carry oxygenated blood, but they carry it away from the heart, not toward it.
Choice C rationale:
This statement is correct. In the circulatory system, veins carry deoxygenated blood toward the heart, while arteries carry oxygenated blood away from the heart.
Choice D rationale:
This statement is incorrect. Veins do not carry oxygenated blood toward the heart, and arteries do not carry deoxygenated blood away from the heart.
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