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 A
Explanation
A. Head circumference should be greater than chest circumference at birth is correct. In a newborn, the head is typically larger than the chest circumference, which is normal due to the large size of the brain relative to the rest of the body at birth.
B. When the anterior fontanel closes at 2 months, the head will be more proportioned to the body is incorrect. The anterior fontanel typically closes between 12 to 18 months, not 2 months, and the head size gradually becomes more proportionate as the child grows.
C. At birth, the head is one fifth the total length is inaccurate. The head is about one-quarter of the newborn's total length, not one-fifth.
D. The head size reaches 90% of its final size when the child is 3 years old is inaccurate. The head reaches approximately 80-85% of its final size by age 2, not 3.
Correct Answer is A
Explanation
A. Providing presence by sitting down, making eye contact, and offering a comforting presence is a key aspect of caring practice. It helps Mrs. Miller feel heard and supported, showing empathy.
B. Avoiding touch may not be necessary unless the patient expresses discomfort with physical contact. Offering a caring presence, including appropriate touch, can help build rapport and show compassion.
C. Telling Mrs. Miller that everything is alright may dismiss her feelings, even if the nurse means well. Acknowledge the patient's emotions and offer emotional support instead of minimizing her experience.
D. Telling Mrs. Miller that the nurse is busy and will return later may seem dismissive of her current emotional state, rather than offering immediate emotional support.
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