A nurse measures a patient's 24-hour fluid intake and documents the findings. To be an accurate indicator of fluid status, what must the nurse do with the information?

Compare the total intake and output of fluids for the 24 hours.

Compare the patient's intake with the normal range of adult fluid intake.

Ensure the information is included in the verbal end-of-shift report.

Report the exact milliliter of intake to the physician's office nurse.

Answer and Explanation

The Correct Answer is A

a) Compare the total intake and output of fluids for the 24 hours: To assess fluid balance and status, the nurse must compare the intake and output of fluids. This helps to determine whether the patient is retaining or losing fluids.

b) Compare the patient's intake with the normal range of adult fluid intake: While this is useful for understanding general fluid needs, it does not directly assess the patient's fluid status. The comparison should be between intake and output.

c) Ensure the information is included in the verbal end-of-shift report: While this is good practice, the focus should be on using the information to assess the patient's fluid balance.

d) Report the exact milliliter of intake to the physician's office nurse: The exact intake should be recorded in the patient's chart and used for clinical decision-making, but it does not need to be reported to a physician's office nurse unless specified.

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Correct Answer is A

Explanation

a) Habitual laxative use is the most common cause of chronic constipation: Chronic laxative use can lead to dependency, where the bowel no longer functions normally without the stimulant. Over time, this can cause chronic constipation.

b) Chronic constipation is nothing to be concerned about: Chronic constipation can be a sign of an underlying issue, such as a bowel obstruction, and it should not be dismissed.

c) A laxative that works by a different method should be used: While there are different types of laxatives, simply switching methods without addressing the underlying cause of dependency may not be effective in resolving chronic constipation.

d) If laxatives are not effective, the client should begin to use enemas: Enemas may be an acute solution, but relying on them regularly can be harmful. The focus should be on addressing the underlying issue of laxative dependency.

Correct Answer is ["1"]

Explanation

Label: Cimetidine Chloride 300 mg/5 mL

To calculate the dose in teaspoons:

Determine how many mL contain the ordered dose:

300 mg is the ordered dose. The label shows that 300 mg is in 5 mL.

Therefore, 300 mg = 5 mL.

Convert mL to teaspoons:

1 teaspoon = 5 mL.

Therefore, 5 mL = 1 teaspoon.

So, 1 teaspoon is required to administer the ordered dose of 300 mg.

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A nurse measures a patient's 24-hour fluid intake and documents the findings. To be an accurate indicator of fluid status, what must the nurse do with the information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client tells the nurse that he takes laxatives every day but is still constipated. The nurse's response is based on which reasoning?

Correct Answer is A

Explanation

The physician orders Cimetidine HCI 300 ng PO gid. After looking at the label you have on hand, how many teaspoons will you administer to the patient?

Correct Answer is ["1"]

Explanation

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