Calculate the intake for the 6 AM to 6 PM shift.
- A patient consumes 8 oz of a popsicle and 80 mL of ice chips during the shift.
- Intravenous fluids infused at 150 mL/hr during the shift.
- The Foley catheter was emptied of 800 mL at 1 AM & 925 mL at 6 PM. 80 mL were emptied from a drain at 6 PM.
The Correct Answer is ["2120"]
Step 1: Convert ounces of popsicle to milliliters. 1 oz is approximately 30 mL, so 8 oz × 30 mL/oz = 240 mL.
Step 2: Total oral intake is the sum of popsicle and ice chips. 240 mL + 80 mL = 320 mL.
Step 3: Intravenous fluid intake is the infusion rate multiplied by the duration of the shift. The shift is 12 hours (6 AM to 6 PM), so 150 mL/hr × 12 hr = 1800 mL.
Step 4: Total intake is the sum of oral and intravenous intake. 320 mL + 1800 mL = 2120 mL.
Final Answer: 2120 mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Subjective opinions like "pleasant to care for" lack specific, objective data about the patient's condition or care provided. Medical documentation should focus on factual observations and interventions related to the patient's health status.
Choice B rationale
"Voiding without difficulty" is a relevant observation regarding the patient's urinary function. However, it lacks specific details such as the amount, color, or clarity of the urine, which are important for a comprehensive assessment.
Choice C rationale
This statement provides specific and objective information about the patient's pain experience. It includes the patient's self-reported pain level (6/10), the location of the pain (left temporal area), and a relevant negative finding (no relief with positioning), all contributing to a clear understanding of the patient's condition.
Choice D rationale
"Onsite looks good" is vague and lacks specific details about the condition of a particular site (e.g., surgical wound, IV insertion site). Effective documentation requires descriptive terms regarding appearance, such as color, presence of drainage, swelling, or redness.
Correct Answer is C
Explanation
Choice A rationale
Incorrect organization of health assessment findings relates to how the nurse collects and structures patient data, which may impact the accuracy of diagnosis and care planning but is less likely to be the primary cause of frustration with a patient's cultural health practices.
Choice B rationale
While a patient's insistence on alternative remedies and spiritual practices might indicate coping mechanisms, it doesn't directly explain the nurse's frustration. The frustration likely stems from a conflict in beliefs or approaches to healthcare rather than the patient's ability to cope.
Choice C rationale
Cultural differences encompass the values, beliefs, and practices that influence a person's perception of health, illness, and healthcare. A patient's preference for herbal remedies, prayer, and a spiritual healer over conventional medical treatment reflects cultural health-related practices that may differ significantly from the nurse's professional training and beliefs, potentially leading to frustration.
Choice D rationale
Delay in psychosocial development refers to a lag in achieving expected developmental milestones related to social and emotional functioning. While it can influence a patient's health behaviors, it is less directly related to the nurse's frustration with culturally based healthcare choices. .
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