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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Hypertension refers to high blood pressure, which is not directly indicated by the given vital signs.
Choice B rationale
Hypotension, or low blood pressure, is also not directly indicated by the provided vital signs.
Choice C rationale
Tachycardia refers to a fast heart rate. If the patient’s heart rate increased significantly between 0800 and 0815, this could be a sign of tachycardia.
Choice D rationale
Bradycardia, or a slow heart rate, would be indicated by a decrease in heart rate, which is not suggested by the given information.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Pupil clarity is not typically used to assess an older adult client’s risk for falls. It is more relevant in neurological assessments.
Choice B rationale
The appearance of gait is a crucial factor in assessing an older adult client’s risk for falls. Abnormalities in gait can increase the risk of falls.
Choice C rationale
Visual fields are important in assessing an older adult client’s risk for falls. Impaired visual fields can increase the risk of falls.
Choice D rationale
Visual acuity is important in assessing an older adult client’s risk for falls. Poor visual acuity can increase the risk of falls.
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