Calculate the patient's intake from 7 p.m. to 7 a.m.
2000-0600: Jevity 50 mL/hr,
0615: 50 cc free water flush,
2100-0215: Two 250 mL of red blood cells.
0115: 20 cc saline flush IV,
0300: Zosyn IV 50 mL.
0400: 10 Cc saline flush IV, Continuous fluids: Heparin 10 mL/hr & Normal Saline 100 mL/hr Ileostomy: 300 mL NG suction: 50 cc. Urine: 1850 mL. Wound vac: 100
The Correct Answer is ["2450"]
Calculation:
- Jevity at 50 mL/hr from 2000 to 0600 (10 hours):
50 mL/hr × 10 hr = 500 mL
- Free water flush at 0615:
= 50 mL
- Red blood cells (2 units of 250 mL) from 2100–0215:
250 mL × 2 = 500 mL
- IV saline flushes:
0115: 20 mL
0400: 10 mL
Total = 30 mL
- Zosyn IV at 0300:
= 50 mL
- Continuous fluids:
Heparin: 10 mL/hr × 12 hr = 120 mL
Normal Saline: 100 mL/hr × 12 hr = 1,200 mL
Total = 1,320 mL
Total Intake Calculation:
- Jevity: 500 mL
- Water flush: 50 mL
- RBCs: 500 mL
- Saline flushes: 30 mL
- Zosyn: 50 mL
- Continuous fluids: 1,320 mL
Total intake = 500 + 50 + 500 + 30 + 50 + 1,320 = 2,450 mL
Final Answer: 2,450 mL intake from 7 p.m. to 7 a.m.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "It will reduce the frequency of your cough. Antitussives suppress the cough reflex and may reduce how often the patient coughs. However, this answer is vague and does not address the patient's concern and doesn't provide specific guidance on usage.
B. "It should be used in the morning." Antitussives are not recommended for use in the morning unless the cough is disruptive to daytime function. Taking them in the morning could lead to daytime drowsiness, if the medication contains sedating agents like codeine.
C. "It should be taken before sleep." This is the best response because antitussives are often most beneficial at night when coughing can disrupt sleep. Administering them before bed helps reduce nocturnal coughing and supports rest, which is essential for recovery.
D. "It will eliminate your cough at night." While antitussives may greatly reduce coughing, they do not guarantee total elimination of the cough. This statement creates unrealistic expectations and may mislead the patient regarding the effectiveness of the medication.
Correct Answer is A
Explanation
A. Placing infants on their backs or sides for sleep:The "Back to Sleep" campaign recommends placing infants on their backs for all sleep times to significantly reduce the risk of SIDS. Back sleeping it keeps the airway more open and reduces the chance of suffocation.
B. Positioning the infant prone for sleep:Placing an infant on their stomach increases the risk of SIDS due to potential airway obstruction and rebreathing of exhaled carbon dioxide. This position is strongly discouraged by pediatric guidelines for safe sleep.
C. Wrapping the infant snugly for rest periods:Swaddling can be safe if done correctly, but wrapping too tightly, especially around the chest or hips, and using loose blankets can increase the risk of overheating or suffocation.
D. Sitting the infant up in an infant seat:Keeping an infant in a sitting position for sleep, such as in a car seat or infant carrier, increases the risk of airway obstruction and is not recommended for routine sleep. Infants should sleep on a flat, firm surface to reduce the risk of SIDS.
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