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 C
Explanation
Choice A reason:
Ferrous sulfate is often taken for longer than 14 days, depending on the severity of the iron deficiency. The duration of treatment is typically based on the individual's response and their laboratory values, rather than a fixed short-term period.
Choice B reason:
Taking ferrous sulfate with a glass of milk is not recommended as calcium in milk can inhibit the absorption of iron. Instead, it should be taken with water or a beverage high in vitamin C, which enhances iron absorption.
Choice C reason:
Foods high in vitamin C, such as oranges, strawberries, and bell peppers, will promote the absorption of iron. Vitamin C converts iron into a form that is more easily absorbed by the body, making this advice essential for maximizing the effectiveness of the iron supplement.
Choice D reason:
Stools are often dark, tarry, or greenish in color when taking iron supplements, not dark red. This coloration is due to the unabsorbed iron and is a normal side effect of ferrous sulfate, not indicative of gastrointestinal bleeding.
Correct Answer is B
Explanation
Choice A reason: Neostigmine is an acetylcholinesterase inhibitor used to treat myasthenia gravis and is not relevant to the administration of morphine. It does not act as an antidote for opioid overdose.
Choice B reason: This is the correct answer. Naloxone is an opioid antagonist that can reverse the effects of opioid overdose, including morphine. It is essential to have naloxone available in case the client experiences respiratory depression or other severe opioid side effects.
Choice C reason: Protamine is used to reverse the effects of heparin, an anticoagulant. It has no role in the management of opioid overdose and is not necessary to have available when administering morphine.
Choice D reason: Flumazenil is an antidote for benzodiazepine overdose. While useful in specific cases, it does not counteract the effects of opioids like morphine and is therefore not the appropriate medication to have on hand in this scenario.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.