A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL. Intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["440"]
To calculate the client's net fluid intake, we need to subtract the output (emesis and urine) from
the intake (IV infusion and IV bolus). Intake:
- 0.9% sodium chloride IV infusion: 600 mL
- Cefazolin in dextrose 5% in water IV bolus: 100 mL Output:
- Emesis: 200 mL
- Voided urine: 40 mL
- Urine from straight catheterization: 20 mL Net fluid intake = Intake - Output
Net fluid intake = (600 mL + 100 mL) - (200 mL + 40 mL + 20 mL) Net fluid intake = 700 mL - 260 mL
Net fluid intake = 440 mL
Therefore, the nurse should record the client's net fluid intake as 440 mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
During the alarm reaction stage of the general adaptation syndrome (GAS), the body's initial response to stress occurs. This stage is characterized by the activation of the body's
fight-or-flight response. The nurse should identify that the manifestation that occurs during the alarm reaction stage is dilated pupils.
The alarm reaction stage is the body's immediate response to a stressor, where it mobilizes its resources to cope with the perceived threat. During this stage, the sympathetic nervous system is activated, resulting in various physiological changes to prepare the body for action. Dilated pupils are one of the responses caused by the sympathetic nervous system activation. This physiological change enhances visual acuity and allows for better peripheral vision, which can be beneficial in assessing the environment for potential threats.
Correct Answer is ["A","B"]
Explanation
Nighttime urinary incontinence and decreased sense of balance are common findings in older adult clients. Increased nighttime sleeping and heightened sense of pain are not necessarily normal findings in older adult clients.
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