A patient consumes 6 oz of orange juice and 237mL of milk for breakfast. 260 mL of coffee for lunch, and 90 mL of an ice chips and 12oz of chicken broth for dinner. He has NS @ 90mL/hr infusing. The patient voided three times during the shift for 240 mL. 500 mL and 400 mL. Calculate the intake for the 6 AM to 6 PM shift.
The Correct Answer is ["2207"]
1. Orange juice and milk for breakfast:
6 oz of orange juice = 6 oz × 30 mL/oz = 180 mL
237 mL of milk = 237 mL
Total for breakfast:
180 mL (orange juice)+237 mL (milk)=417 mL
2. Coffee for lunch:
260 mL of coffee = 260 mL
Total for lunch:260 mL
3. Ice chips and chicken broth for dinner:
90 mL of ice chips = 90 mL
12 oz of chicken broth = 12 oz × 30 mL/oz = 360 mL
Total for dinner:
90 mL (ice chips)+360 mL (chicken broth)=450 mL
4. Normal Saline (NS) infusion:
The infusion rate is 90 mL/hr for 12 hours (6 AM to 6 PM).
90 mL/hr×12 hours=1080 mL
5. Total Intake (from all sources):
417 mL (breakfast)+260 mL (lunch)+450 mL (dinner)+1080 mL (NS infusion)=2207 mL
Total intake for the 6 AM to 6 PM shift: 2207 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Fulfilling affiliation needs involves addressing emotional needs, such as providing companionship or social support, which is not the focus of this scenario.
B. Demonstrating an encouraging manner involves offering positive reinforcement and emotional support, but this is not the behavior being demonstrated in this situation.
C. Providing a sense of presence means being emotionally available and present with the patient, which is different from creating an environment conducive to physical healing and rest.
D. Creating a healing environment refers to modifying the physical surroundings to promote rest, recovery, and well-being. Ensuring the room is cool, quiet, and dark promotes rest, which is essential for healing.
Correct Answer is B
Explanation
A. Tilting the person's head forward is not a standard technique for performing an otoscopic examination in adults. The head is generally held still or tilted slightly backward for better visualization.
B. For adults, the correct method is to pull the pinna up and back to straighten the ear canal, allowing for a better view during the examination.
C. The smallest speculum is not typically used for adults; a larger speculum is generally preferred for optimal visualization and to reduce discomfort.
D. Traction should be maintained during the insertion of the speculum to keep the ear canal straight. Releasing traction once the speculum is inserted can lead to poor visibility and discomfort.
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