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The nurse is completing the intake and output record for a preschool-age client admitted for fluid volume deficit.

The client has had the following intake and output during the shift:

Intake:

  • 4 oz of Pedialyte
  • 1/2 of an 8-oz cup of clear orange Jell-O
  • 2 graham crackers
  • 200 mL of D 5-1/2 sodium chloride IV

Output:

  • 345 mL of urine
  • 50 mL of loose stool

The nurse documents the client's intake as milliliters. How much liquidintake did the client have in Milliliters?
Round the answer to the nearest whole number.
Answer and Explanation

The Correct Answer is ["437"]

  • To convert ounces to milliliters, multiply by 29.57
  • 4 oz of Pedialyte = 118.28 mL
  • 1/2 of an 8-oz cup of clear orange Jell-O = 118.28 mL
  • 2 graham crackers = no liquid intake
  • 200 mL of D 5-1/2 sodium chloride IV = 200 mL
  • Total intake = 118.28 + 118.28 + 200 = 436.56 mL
  • Round to the nearest whole number = 437 mL
  • The nurse documents the client's intake as 437 mL


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Related Questions

Correct Answer is A

Explanation

Choice A reason:

A painless sore with raised edges is a characteristic early sign of oral cancer. It may appear as a small, painless lump or sore in the mouth, often with raised edges. This finding should raise suspicion and prompt further evaluation.

Choice B reason:

Diffuse inflammation of the buccal mucosa is a non-specific finding and can be caused by various factors, including infection or irritation. While it's important to assess the oral mucosa for any abnormalities, it is not specific to oral cancer.

Choice C reason:

Dull pain radiating to the ears and teeth is not a characteristic early sign of oral cancer. Pain associated with oral cancer may occur in later stages or if there is local invasion of nerves.

Choice D reason:

Areas of tenderness that make chewing difficult may occur for various reasons, including dental issues or other oral health problems. While this can be distressing for the patient, it is not specific to oral cancer.

Correct Answer is B

Explanation

Choice A reason:

Sudden thirst, unrelieved by oral fluid administration, may indicate dehydration, but it is not specific to a recurrence of upper GI bleeding.

Choice B reason:

This is the correct answer. Tachycardia (rapid heart rate), hypotension (low blood pressure), and tachypnea (rapid breathing) are signs of potential recurrence of upper GI bleeding and should be closely monitored.

Choice C reason:

Diaphoresis (excessive sweating) and sudden onset of abdominal pain could be indicative of various conditions, but they are not specific to a recurrence of upper GI bleeding.

Choice D reason:

Tarry, foul-smelling stools (melena) are indicative of upper GI bleeding. However, in this scenario, the bleeding has been controlled, so this is not an expected sign of recurrence.

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