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A nurse is documenting a client’s fluid intake over the past 8 hours.
Which of the following items should be recorded as 120 mL of fluid in the client’s intake and output record?

2 cups of soup

1 quart of water

8 oz of ice chips

6 oz of tea

Answer and Explanation

The Correct Answer is C

Choice A rationale

A cup of soup is typically 240 mL, so 2 cups would be 480 mL, which is more than 120 mL1.

Choice B rationale

A quart is a unit of volume equal to 946 mL, which is significantly more than 120 mL1.

Choice C rationale

8 oz of ice chips is approximately equivalent to 120 mL2. This is because when ice melts, it reduces in volume by about half, so 8 oz of ice chips would melt to about 4 oz of water, which is approximately 120 mL2.

Choice D rationale

6 oz is approximately 177 mL, which is more than 120 mL2.

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Correct Answer is D

Explanation

Choice A rationale

Cucumbers are a good source of hydration due to their high water content, but they are not particularly high in potassium.

Choice B rationale

Corn is a versatile vegetable that provides a good source of fiber, but it is not particularly high in potassium.

Choice C rationale

Asparagus is a nutrient-rich vegetable known for its diuretic properties, but it is not particularly high in potassium.

Choice D rationale

Avocados are a nutrient-dense fruit that is high in healthy fats and also a good source of potassium. They are a great food choice for a client at risk for hypokalemia.

A. Touch the patient’s face with a cotton ball. B. Apply a vibrating tuning fork to the patient’s forehead. C. Have the patient stand with their arms at their sides and their feet together. D. Perform direct percussion over the area of the kidneys.

Correct Answer is C

Explanation

Choice A rationale

Touching the patient’s face with a cotton ball is not part of the Romberg test. This action is more commonly associated with tests of facial sensation.

Choice B rationale

Applying a vibrating tuning fork to the patient’s forehead is not part of the Romberg test. This action is more commonly associated with tests of vibratory sensation.

Choice C rationale

Having the patient stand with their arms at their sides and their feet together is the correct method for conducting a Romberg test.

Choice D rationale

Performing direct percussion over the area of the kidneys is not part of the Romberg test. This action is more commonly associated with tests of kidney function or the presence of kidney disease.

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A nurse is documenting a client’s fluid intake over the past 8 hours. Which of the following items should be recorded as 120 mL of fluid in the client’s intake and output record?

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A nurse is documenting a client’s fluid intake over the past 8 hours.
Which of the following items should be recorded as 120 mL of fluid in the client’s intake and output record?