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
Related Questions
Correct Answer is C
Explanation
A. Psychomotor learning refers to learning that involves physical skills and is less relevant when educating a patient about managing a chronic condition like diabetes, especially in this case.
B. Developmental stage refers to a patient’s cognitive and physical development, but this may not be the highest concern for an adult patient with diabetes.
C. Health literacy is critical in this case because the patient needs to understand the instructions for medication, therapy, and appointments to manage their diabetes effectively. Homeless patients may face barriers in accessing information or understanding it fully, so ensuring the patient has a clear understanding is a priority.
D. Motivation is important, but addressing health literacy (ensuring the patient understands the information) is likely a more immediate concern, as lack of understanding could prevent motivation from having an effect.
Correct Answer is C
Explanation
A. Having the client take deep breaths is not typically necessary during carotid auscultation. Deep breathing could interfere with the ability to listen to the carotid sounds clearly.
B. Having the client lean forward and turn their head may improve access to the carotid arteries, but it is not the primary recommendation for auscultation.
C. Having the client hold their breath during auscultation is important as it helps eliminate any sounds caused by respiration, allowing the nurse to hear murmurs or bruits more clearly.
D. Coughing before auscultation is unnecessary and would not aid in accurately assessing the carotid arteries.
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