When calculating a client's 8 hour intake, how many mL of fluid should the practical nurse (PN) document? (Enter numeric value only.)
0730: 120 mL of orange juice, hard boiled egg, and toast
1130: 1 cup of broth, one-half sandwich, and 120 mL of apple juice
1400: voided 250 mL and consumed one 12-ounce can of soft drink
The Correct Answer is ["840"]
Convert each fluid intake into mL:
At 0730, the client consumed 120 mL of orange juice.
At 1130, the client consumed 1 cup of broth (1 cup = 240 mL) and 120 mL of apple juice.
At 1400, the client consumed a 12-ounce can of soft drink. Since 1 ounce = 30 mL, 12 ounces equals 360 mL.
Total fluid intake:
120 mL (orange juice)
240 mL (broth)
120 mL (apple juice)
360 mL (soft drink)
Add the total fluid intake:
120 mL + 240 mL + 120 mL + 360 mL = 840 mL
Answer: 840 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Maintain sterile technique during specimen collection: Sterile technique is required for urine cultures, not for 24-hour urine collections. For a timed urine collection, clean collection techniques are sufficient to accurately measure excretion over a full day.
B. Assist the client to cleanse the perineal area prior to voiding: While perineal hygiene is important, it is not the primary step when starting a 24-hour urine collection. The critical action is ensuring that the first void is discarded to properly begin timing the collection period.
C. Instruct the client to discard the first voided specimen: The first void is discarded to ensure the collection accurately measures substances excreted during the full 24-hour period. Timing officially starts after discarding the initial urine, and every subsequent void must be collected.
D. Insert an indwelling urinary catheter: Inserting an indwelling catheter is unnecessary unless the client is unable to void independently. Most 24-hour urine collections are performed using normal voiding and collection into a clean container.
Correct Answer is A
Explanation
A. Visitors should only wash hands with soap and water: Handwashing with soap and water is essential because alcohol-based sanitizers are ineffective against Clostridium difficile spores. Physical friction from washing removes spores and significantly reduces the risk of transmission.
B. Standard precautions apply to clients with active diarrhea: Clients with C. difficile require contact precautions, not just standard precautions, due to the high risk of environmental contamination and spore transmission through direct and indirect contact.
C. Clostridium difficile spores do not live long on surfaces outside of the host: C. difficile spores are very hardy and can survive on surfaces for long periods, sometimes weeks or months, making environmental cleaning and personal hygiene critical.
D. Only immunosuppressed family members should take precautions: All visitors and healthcare workers must use precautions, not just immunosuppressed individuals, because C. difficile is highly contagious and can infect healthy individuals through spore ingestion.
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