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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["31.25"]
Explanation
- To calculate the correct rate of flow for this patient, we need to use the formula: Rate (gtt/min) = Volume (mL) x Calibration (gtt/mL) / Time (min)
- Plugging in the given values, we get: Rate (gtt/min) = 125 mL x 15 gtt/mL / 60 min
- Simplifying, we get: Rate (gtt/min) = 31.25 gtt/min
- Therefore, the correct rate of flow for this patient is 31.25 gtt/min
Correct Answer is B
Explanation
Choice A reason:
Monitoring creatinine levels is important, but it may not be the top priority in this situation.
Choice B reason:
This statement is correct. Given the severe diarrhea associated with Clostridium difficile infection, monitoring potassium levels is crucial to identify and address potential electrolyte imbalances, which can lead to serious complications.
Choice C reason:
Monitoring white blood cell levels is important in the context of infection, but potassium levels are more directly relevant to managing severe diarrhea associated with Clostridium difficile.
Choice D reason:
Hemoglobin levels are important for assessing anemia, but in this context, monitoring potassium levels takes precedence due to the potential for electrolyte imbalances from severe diarrhea.
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