A nurse is recording the intake and output (I&O) for a client.

The client consumed 8 oz of milk, 10 oz of water, 4 oz of gelatin, 1 egg, 1 piece of bacon, and 2 biscuits.

Which volume should the nurse record on the I&O?

Answer and Explanation

The Correct Answer is ["660"]

Step 1: Convert all liquid intake to mL: 8 oz of milk = 8 oz × 30 mL/oz = 240 mL 10 oz of water = 10 oz × 30 mL/oz = 300 mL 4 oz of gelatin = 4 oz × 30 mL/oz = 120 mL

Step 2: Sum the liquid intake: Total intake = 240 mL + 300 mL + 120 mL = 660 mL

The nurse should record 660 mL on the I&O.

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Correct Answer is A

Explanation

Choice A rationale

Declining estrogen levels during perimenopause can indeed cause headaches. Estrogen influences neurotransmitters like serotonin, and its decline can lead to vasodilation, contributing to headaches.

Choice B rationale

Papanicolaou tests should continue even after menopause. Cervical cancer risk persists, and regular screening remains essential for early detection.

Choice C rationale

Perimenopause involves irregular periods. It's common for menstrual cycles to become erratic before they eventually cease at menopause.

Choice D rationale

The best time for a breast self-examination is after menstruation ends, when breasts are less tender and swollen. Doing it on the first day of the period is not recommended.

A. Increased peripheral circulation. B. Increased constipation. C. Decreased muscle mass. D. Decreased cough reflex.

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

Explanation

Choice A rationale

Increased peripheral circulation is not a typical part of the aging process. In fact, aging is often associated with decreased circulation due to vascular changes and reduced cardiac output.

Choice B rationale

Constipation is more common in older adults due to factors like reduced intestinal motility, decreased fluid intake, and medication side effects, making it a relevant physiological change in aging.

Choice C rationale

Decreased muscle mass, or sarcopenia, is a common part of aging. It results from a combination of reduced physical activity, hormonal changes, and nutritional deficiencies.

Choice D rationale

A decreased cough reflex in older adults increases the risk of aspiration and respiratory infections. It results from changes in neurological function and reduced muscle strength.

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A nurse is recording the intake and output (I&O) for a client. The client consumed 8 oz of milk, 10 oz of water, 4 oz of gelatin, 1 egg, 1 piece of bacon, and 2 biscuits. Which volume should the nurse record on the I&O?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is perimenopausal.Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with an older adult client about the aging process.The nurse should instruct the client that which of the following physiological changes are part of the aging process? (Select all that apply.)

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

Explanation

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A nurse is recording the intake and output (I&O) for a client.

The client consumed 8 oz of milk, 10 oz of water, 4 oz of gelatin, 1 egg, 1 piece of bacon, and 2 biscuits.

Which volume should the nurse record on the I&O?