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 A
Explanation
A. 2–3 days:This is the correct time frame for interpreting a tuberculin skin test (Mantoux test). The induration response should be evaluated 48 to 72 hours after administration to ensure accurate results. Reading the test outside this window may lead to false negatives or unreliable interpretation.
B. 24 hours:Reading the skin test after only 24 hours may not allow sufficient time for the delayed hypersensitivity reaction to develop. The immune response that causes induration typically peaks at 48–72 hours.
C. 1 week:Waiting a full week exceeds the ideal time frame for interpretation. By this point, the reaction may have subsided, leading to an inaccurate or unreadable result. Follow-up must occur within 2–3 days.
D. 1 month:A return after one month is far too late to interpret the results. The test site would have long since returned to baseline, making accurate evaluation impossible and necessitating repeat testing.
Correct Answer is B
Explanation
A. Airborne:Airborne precautions are required for diseases transmitted via tiny particles that remain suspended in the air, such as tuberculosis or measles. RSV is not transmitted through airborne particles and does not require this level of isolation.
B. Contact:RSV (respiratory syncytial virus) is primarily spread through direct contact with respiratory secretions or contaminated surfaces. Therefore, contact precautions such as gloves and gowns are essential to prevent transmission.
C. Protective:Protective (or reverse) precautions are used for immunocompromised patients to protect them from external pathogens, not to isolate contagious patients. RSV patients pose a risk to others, so protective precautions are not appropriate.
D. Droplet:While RSV can be spread via large respiratory droplets, the main route is contact. Droplet precautions may be used as an adjunct, but contact precautions are the primary recommended approach.
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