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 D
Explanation
A. Cranberry juice: Clear liquid, easily absorbed, no pulp.
B. Orange gelatin: Considered a clear liquid despite color.
C. Beef broth: A clear liquid and provides sodium/flavor.
D. Vanilla pudding: Pudding is a full liquid, not clear. It is opaque and should be avoided in the clear liquid phase.
Correct Answer is B
Explanation
A. Provide assistance to bathroom: This is appropriate if the client feels the urge but not the priority when there’s a concern for urinary retention.
B. Perform a bladder scan: This is the first step in assessment to determine if the bladder is full and retention is present before taking further action.
C. Offer the client fluids: Fluids help with hydration but not necessarily with retention if the bladder is already full.
D. Insert an indwelling urinary catheter: This is an invasive intervention and should only be done after confirming urinary retention with a scan.
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