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
700 mL
800 mL
900 mL
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:
To record the correct intake, conversion of all quantities into milliliters is crucial: 4 oz juice (120 mL), 6 oz hot tea (180 mL), 100 mL ice chips (50 mL), 150 mL IV bolus, and 8 oz broth (240 mL), totaling 120 + 180 + 50 + 150 + 240 = 740 mL. 740 mL closely aligns with Choice B (700 mL). Slight discrepancy is due to rounding or estimate in practical settings, making Choice B the most accurate.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Vitamin D is important for bone health and the absorption of calcium but does not play a direct role in the wound healing process. Its primary function is to maintain proper bone structure and immune function, which, while beneficial, is not specifically focused on wound healing.
Choice B reason:
Protein is crucial for wound healing as it provides the necessary building blocks for tissue repair and regeneration. Proteins are essential for the production of collagen and other components of skin and tissue, making them a vital nutrient in the healing process. Ensuring adequate protein intake helps accelerate recovery and strengthen new tissue.
Choice C reason:
Vitamin B, particularly B12 and folic acid, supports overall health and can aid in red blood cell production and energy metabolism. However, it is not the primary nutrient required for wound healing. Its role is more supplementary compared to the direct impact of protein on tissue repair.
Choice D reason:
Calcium is essential for bone health and muscular function but does not have a direct role in the process of wound healing. While important for overall health, calcium is not as critical for wound repair as protein.
Correct Answer is B
Explanation
Choice A reason: INH (isoniazid) is an antibiotic commonly used to treat tuberculosis. It has no role in treating acute gout or alleviating the associated symptoms such as swelling and severe pain. Therefore, this choice is incorrect for the condition described.
Choice B reason: This is the correct answer. Colchicine is a well-established medication specifically used to treat acute gout attacks. It works by reducing inflammation and pain by inhibiting the movement of white blood cells to the inflamed area, which directly addresses the symptoms described in the scenario.
Choice C reason: Physostigmine is a cholinesterase inhibitor used to treat conditions such as anticholinergic toxicity. It is not indicated for the treatment of acute gout or its symptoms, making this choice incorrect for the condition described.
Choice D reason: Sertraline is an antidepressant from the selective serotonin reuptake inhibitor (SSRI) class. While effective in treating depression and anxiety disorders, it has no therapeutic role in the management of acute gout or related symptoms, thus making this choice inappropriate.
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