For the 0700 to 1500 shift, the patient drinks 240 mL of coffee, 60 mL of milk, and 120 mL of apple juice at breakfast. For lunch, the patient takes 8 oz of broth and drinks 10 oz of water for the shift. What is the total intake for the 0700 to 1500 shift?

700

660

900

960

Answer and Explanation

The Correct Answer is B

A. 700: This is incorrect, check the calculation in choice D rationale
B. 660: This is incorrect, check the calculation in choice D rationale

C. 900: This is incorrect, check the calculation in choice D rationale
D. To calculate the total intake, we need to convert all fluid measurements to milliliters (mL) and then add them together:

- Coffee: 240 mL

- Milk: 60 mL

- Apple juice: 120 mL

- Broth: 8 oz = 240 mL (1 oz = 30 mL)

- Water: 10 oz = 300 mL (1 oz = 30 mL)

Now, add them together:

240 mL (coffee) + 60 mL (milk) + 120 mL (apple juice) + 240 mL (broth) + 300 mL (water) = 960 mL.

Thus, the total intake is 960 mL, which corresponds to D.

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Correct Answer is ["B","C"]

Explanation

A. Turn the client to the side is the correct action to prevent aspiration, but restraining the client is not appropriate. Restraint can cause injury and should never be used during a seizure. The client should be allowed to move freely during the seizure, and positioning them on their side helps maintain an open airway and prevent aspiration.

B. Time the duration of the seizure is essential for monitoring the length of the seizure. This helps the nurse determine if the seizure is prolonged or if medical intervention is necessary.

C. Administer supplemental oxygen to the client is appropriate if the client is experiencing apnea or breathing difficulties during the seizure. The nurse should ensure the oxygen equipment is ready and functioning to provide supplemental oxygen if needed.

D. Placing a tongue depressor in the client's mouth is not recommended during a seizure. This can cause injury to the client’s mouth, teeth, or airway and does not prevent biting the tongue. Instead, the nurse should focus on protecting the client's airway and preventing aspiration.

A. Place the patient in isolation B. Assess the patient's pain level C. Pad the patient's bed rails D. Teach the patient what to expect with radiation treatments

Correct Answer is D

Explanation

A. Isolation is not typically required for a patient receiving radiation unless there is a specific infection concern. Radiation does not require isolation.

B. While assessing pain is important, the priority at this point is to ensure that the patient understands the treatment process and what to expect, which can help reduce anxiety and improve cooperation during treatment.

C. Padding the bed rails is typically done for patients at risk of seizures or injury. While this might be relevant for some patients with brain tumors, the immediate priority is to educate the patient about the treatment.

D. Teaching the patient what to expect with radiation treatments is the priority. This helps reduce anxiety, ensures informed consent, and prepares the patient for the treatment process. Education about side effects, the procedure, and the expected outcomes is crucial for managing the patient’s experience.

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For the 0700 to 1500 shift, the patient drinks 240 mL of coffee, 60 mL of milk, and 120 mL of apple juice at breakfast. For lunch, the patient takes 8 oz of broth and drinks 10 oz of water for the shift. What is the total intake for the 0700 to 1500 shift?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a seizure disorder. Exhibits Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

A patient with a brain tumor is admitted to a medical-surgical unit to begin radiation. Which nursing action should take priority?

Correct Answer is D

Explanation

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