A nurse is completing the 8-hr I&O 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.)
The Correct Answer is ["1","140"]
4 oz soda = 120 mL
12 oz water = 360 mL
8 oz gelatin = 240 mL
4 oz broth = 120 mL
IV fluid = 300 mL
Toast is solid and does not count.
Total: 120 + 360 + 240 + 120 + 300 = 1,140 mL
Final intake = 1,140 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 8.0: This is more consistent with intestinal or respiratory tract placement, not gastric.
B. 4.0: A pH of ≤5 confirms that the tube is in the stomach, especially if aspirate is green or tan.
C. 6.5: This could indicate pulmonary or small bowel placement.
D. 7.5: This is likely too alkaline, suggesting placement in the respiratory tract or intestines.
Correct Answer is C
Explanation
A. Distended neck veins: Distended neck veins are typically associated with fluid overload, not dehydration.
B. High blood pressure: Dehydration usually results in low blood pressure or orthostatic hypotension due to decreased circulating volume.
C. Dark concentrated urine: This is a classic sign of dehydration, indicating low fluid intake and increased urine concentration.
D. Moist skin: Dehydration typically causes dry skin and mucous membranes, not moist skin.
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