A nurse is completing an 8-hour intake and output (I&O) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

600 mL

740 mL

800 mL

900 mL

None

Answer and Explanation

The Correct Answer is B

Choice A reason:

Calculating the total intake includes converting ounces to milliliters and adding all fluid intakes. 4 oz juice equals 120 mL, 6 oz hot tea equals 180 mL, ice chips are counted as half their volume, so 100 mL ice chips equals 50 mL, 150 mL IV bolus, and 8 oz broth equals 240 mL. Adding these up: 120 + 180 + 50 + 150 + 240 = 740 mL. Choice A, 600 mL, underestimates the total intake, excluding necessary details in the calculation.

Choice B reason:

Let’s calculate step by step:

Juice: 4 oz × 30 mL = 120 mL
Tea: 6 oz × 30 mL = 180 mL
Ice chips: 100 mL × 0.5 = 50 mL (since only half of the volume of ice is counted as fluid)
IV bolus: 150 mL
Broth: 8 oz × 30 mL = 240 mL

Now add them:
120 + 180 + 50 + 150 + 240 = 740 mL

Choice C reason:

800 mL inaccurately inflates the total intake. Accurate calculation yields 740 mL as the total fluid intake, considering all conversions and additions. Choice C misrepresents this value.

Choice D reason:

900 mL is another overestimate. Proper conversion and summation of all fluids indicate the total intake is 740 mL. Choice D is significantly higher than this calculated total, demonstrating the importance of precise conversion and addition for accurate records.

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Correct Answer is A

Explanation

Choice A reason: This is the correct answer. Aspirin at a low dose (e.g., 325 mg) is commonly prescribed for its antiplatelet effects, which help prevent the formation of blood clots. This action reduces the risk of another myocardial infarction by keeping the blood flowing smoothly through the arteries.

Choice B reason: Aspirin does have analgesic properties, making it effective for pain relief. However, the primary reason for prescribing it post-myocardial infarction is its ability to prevent platelet aggregation and reduce the risk of further cardiac events.

Choice C reason: Aspirin can also act as an antipyretic to reduce fever. In the context of myocardial infarction, this property is not the primary reason for its prescription. The focus is on its cardiovascular protective effects through antiplatelet activity.

Choice D reason: Aspirin has anti-inflammatory effects, which are beneficial in various conditions. However, post-myocardial infarction, its main benefit is reducing the risk of clot formation through antiplatelet aggregation rather than its anti-inflammatory properties.

A. Increased temperature B. Increased blood pressure C. Bradycardia D. Increased hematocrit

Correct Answer is B

Explanation

Choice A reason:

Increased temperature is not a typical finding associated with fluid volume overload. Fluid volume overload affects the circulatory and respiratory systems primarily, and while fever can indicate infection or inflammation, it is not a direct consequence of fluid volume excess.

Choice B reason:

Increased blood pressure is a common finding in fluid volume overload due to the increased volume of blood in the circulatory system. This excess volume can lead to hypertension as the heart works harder to pump the additional fluid, making this a key indicator of fluid volume overload.

Choice C reason:

Bradycardia, or a slow heart rate, is not typically associated with fluid volume overload. In fact, fluid overload often leads to tachycardia as the heart tries to compensate for the increased volume. Bradycardia could indicate other cardiac conditions but is not a sign of fluid volume excess.

Choice D reason:

Increased hematocrit is not expected in fluid volume overload. Hematocrit measures the proportion of red blood cells in the blood, and with fluid overload, this proportion is usually diluted, leading to a lower hematocrit level rather than an increased one.

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A nurse is completing an 8-hour intake and output (I&O) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

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Naxlex Comprehensive Predictor Exams

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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