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It is the end of your 12-hour shift. The patient consumed: 1 cup of coffee, one 3-oz cup of juice, 240 ml of milk, 210 ml of milkshake, 12 ounces of tea, 3 oz of Jello, one 12 oz cola, and 150 ml of water with meds. What is the patient's 12-hour oral intake you will document in ml?

Answer and Explanation

The Correct Answer is ["1","740"]

Step 1: Convert all items to milliliters (mL)

cup of coffee = 240 mL

3 oz of juice = 3 × 30 = 90 mL

Milk = 240 mL

Milkshake = 210 mL

12 oz of tea = 12 × 30 = 360 mL

3 oz of Jello = 3 × 30 = 90 mL

12 oz cola = 12 × 30 = 360 mL

Water with meds = 150 mL

Step 2: Add all volumes
240 + 90 + 240 + 210 + 360 + 90 + 360 + 150 = 1,740 mL

Rationale:
To document oral intake, all fluids—including gelatin—must be included and converted to mL (1 oz = 30 mL). Sum all volumes to get the total intake.

Final Answer: 1,740 mL

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Correct Answer is A

Explanation

A. Fall-prevention measures (such as ensuring a clutter-free environment, using nonslip footwear, and keeping items within reach) are the most effective and practical first-line approach to reducing injury risk in clients with muscle weakness due to Cushing syndrome.
B. While rest may be needed, prolonged bed rest can worsen deconditioning and increase other risks such as thromboembolism.
C. Assistive devices may be helpful but are part of a fall-prevention strategy, not a complete solution.
D. Constant supervision is not always feasible and should be reserved for clients with significant cognitive or physical impairments.

A. Monitoring the client for dysrhythmias B. Maintaining and monitoring the client's fluid balance C. Assessing the client's level of consciousness D. Assessing the client for signs and symptoms of venous thromboembolism

Correct Answer is B

Explanation

A. Monitoring for dysrhythmias is important, especially due to potential electrolyte shifts, but it is secondary to stabilizing perfusion and hydration.
B. Maintaining and monitoring fluid balance is the top priority in the initial management of diabetic ketoacidosis (DKA) because clients are severely dehydrated due to osmotic diuresis. Prompt fluid resuscitation is essential to restore perfusion and support metabolic correction.
C. Assessing level of consciousness is necessary, especially if cerebral edema is a concern, but it follows after fluid and metabolic stabilization.
D. Venous thromboembolism is a risk in critically ill patients, but it is not an immediate priority in the acute phase of DKA treatment.

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It is the end of your 12-hour shift. The patient consumed: 1 cup of coffee, one 3-oz cup of juice, 240 ml of milk, 210 ml of milkshake, 12 ounces of tea, 3 oz of Jello, one 12 oz cola, and 150 ml of water with meds. What is the patient's 12-hour oral intake you will document in ml?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse providing care for a client with Cushing syndrome has identified the nursing diagnosis of risk for injury related to weakness. How should the nurse best reduce this risk?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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