You are calculating the intake for a 10 month old infant for the past 4 hours. She is on a clear liquid diet in the past 4 hours she has taken 6.5 ounces of water from a sippy cup. She also ate an entire 2 ounce Pedialyte ice pop and 1/4 cup of jello. Her maintenance IV fluids are running at a rate of 18 ml/hr. She received a dose of Ceftriaxone 400mg/50ml via IV piggyback two hours ago. What is the total intake for this patient in the past 4 hours. Please put your answer in MILLILITERS and round to the nearest WHOLE number.
The Correct Answer is ["437"]
Calculation:
- Identify all fluid sources and convert volumes to milliliters (mL).
Water intake: 6.5 ounces x 30 mL/ounce = 195 mL.
Pedialyte ice pop intake: 2 ounces x 30 mL/ounce = 60 mL.
Jello intake: 1/4 cup x 240 mL/cup = 60 mL.
Maintenance IV fluids: 18 mL/hour x 4 hours = 72 mL.
Ceftriaxone IV piggyback: The entire volume of the bag is counted, which is 50 mL.
- Add all the volumes together to find the total intake.
Total intake = 195 mL + 60 mL + 60 mL + 72 mL + 50 mL
= 437 mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Rationale:
A. Growth of pubic hair: Pubic hair growth, or pubarche, typically occurs after the initial signs of puberty and is a secondary sexual characteristic, not the first sign.
B. Growth spurt: The rapid increase in height follows the onset of puberty but usually comes after breast development has started.
C. Breast bud development: Thelarche, or breast bud development, is the earliest visible sign of puberty in girls, marking the start of hormonal changes and sexual maturation.
D. Menarche: Menarche, the onset of menstruation, occurs later in puberty after several other physical changes, including breast development and growth spurt.
Correct Answer is A
Explanation
Rationale:
A. Acute Lymphoblastic Leukemia (ALL): ALL is the most common pediatric cancer, typically affecting children between the ages of 2 and 5. Clinical signs include pallor, fatigue, petechiae, recurrent fevers, and bone marrow suppression. A CBC often shows elevated WBCs with a predominance of immature lymphoblasts on a peripheral smear.
B. Hodgkin's Lymphoma: This cancer usually presents in older children and adolescents, often with painless cervical lymphadenopathy, night sweats, fever, and weight loss. It does not typically present with massive lymphoblast proliferation in peripheral blood, as seen in this case.
C. Acute Myelogenous Leukemia (AML): AML is more common in adults but can occur in children. It presents with similar symptoms of bone marrow failure but is characterized by myeloblasts rather than lymphoblasts on the blood smear.
D. Non-Hodgkin's Lymphoma: Pediatric non-Hodgkin's lymphoma often presents with rapidly enlarging lymph nodes, mediastinal mass, or abdominal symptoms. It is not primarily a bone marrow disease and would not typically show high lymphoblast counts in the peripheral blood.
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