A patient consumes 120 mL of orange juice and 120 mL of milk for breakfast, 260 mL of coffee for lunch, and 90 mL of an ice pop and 120 mL of ice cream for dinner. Calculate the intake for the 6 AM to 6 PM shift.

610 mL

710 mL

810 mL

910 mL

Answer and Explanation

The Correct Answer is B

Choice A reason: 610 mL omits ice cream (120 mL); total is 120 + 120 + 260 + 90 + 120 = 710 mL; this undercalculation misses a key liquid intake component.

Choice B reason: 710 mL sums all: 120 (juice) + 120 (milk) + 260 (coffee) + 90 (ice pop) + 120 (ice cream); melted solids count as fluid, matching clinical standards.

Choice C reason: 810 mL overestimates; no additional fluids are listed beyond 710 mL; this error likely adds non-existent intake, skewing the total inaccurately.

Choice D reason: 910 mL vastly exceeds reality; it may double-count or invent fluids; only 710 mL is supported by the listed consumption data provided.

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Correct Answer is D

Explanation

Choice A reason: Moderate reactions don't cause breathing difficulty or hypotension. Severe symptoms indicate anaphylaxis, requiring emergency intervention.

Choice B reason: Symptoms align with anaphylaxis, not food poisoning. Assuming an unrelated cause delays life-saving treatment.

Choice C reason: Mild reactions lack systemic effects like hypotension and breathing difficulties. Antihistamines alone are insufficient for anaphylaxis.

Choice D reason: Anaphylaxis involves systemic reactions such as hypotension, airway constriction, and skin symptoms. Immediate interventions prevent progression and save lives.

A. The patient does not have enough body fat to give the medication subcutaneously. B. Intramuscular injections require smaller needles than subcutaneous injections. C. The medication will be absorbed and begin to work more quickly when given IM. D. Intramuscular injections are preferred for patients with a high risk of bleeding.

Correct Answer is C

Explanation

Choice A reason: Body fat levels influence subcutaneous absorption but are not the primary reason for choosing IM over SC injection in this scenario.

Choice B reason: Needle size varies by medication and patient factors, but this is not the defining reason for selecting IM over SC injection.

Choice C reason: IM injections deliver medication directly to muscle tissue with a rich vascular supply, ensuring faster absorption and onset compared to subcutaneous administration.

Choice D reason: IM injections are not inherently safer for patients at risk of bleeding; they carry similar risks and require proper assessment before administration.

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A patient consumes 120 mL of orange juice and 120 mL of milk for breakfast, 260 mL of coffee for lunch, and 90 mL of an ice pop and 120 mL of ice cream for dinner. Calculate the intake for the 6 AM to 6 PM shift.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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