Nokea
Which of these does not need to be included when calculating a client's fluid intake?
- A. ice chips
- B. Jell-O™
- C. pudding
- D. IV fluid from an antibiotic piggyback
Correct Answer: C
Rationale: Pudding is a semi-solid and does not melt at room temperature, so it should not be included in fluid intake calculations.
You may also like to solve these questions
The nurse is using a hypothermia blanket for the febrile client. Which findings should prompt the nurse to consider that the client is hypothermic? Select all that apply.
- A. Increased urine output
- B. Increased drowsiness
- C. Decreased heart rate (HR)
- D. Decreased blood pressure (BP)
- E. Increased core body temperature
Correct Answer: B,C,D
Rationale: B: Drowsiness results from low cardiac output affecting the CNS. C: Decreased HR reflects thermoregulation effects. D: Decreased BP reduces cardiac workload. A: Hypothermia decreases urine output. E: Hypothermia lowers core temperature.
The LPN is placing a Foley in a female client. Place the following steps in the appropriate order.A.Prepare the sterile field., B.Separate labia with non-dominant hand., C.Clean the urinary meatus using cleansing solutions and forceps. D. Inflate catheter balloon. E. Place the client in a supine position with flexed knees. F. Place lubricant on catheter. G. Place catheter in meatus with dominant (sterile) hand
- A. E, A, B, F, G, C, D
- B. A, E, B, F, G, D, C
- C. A, E, F, B, C, G, D
- D. E, A, F, B, C, G, D
Correct Answer: D
Rationale: The LPN should follow the correct order of catheter insertion to ensure the catheter is inserted safely. Any other variant of insertion may cause compromise of sterility and client harm.
A client is on a clear liquid diet. She drinks half of a 12-ounce juice, 4 ounces of soup, and has a 6-ounce JELLO0. How many milliliters of fluid did the patient ingest?
- A. $440 \mathrm{ml}$
- B. $480 \mathrm{ml}$
- C. $22 \mathrm{ml}$
- D. $660 \mathrm{ml$
Correct Answer: B
Rationale: 1 ounce = 30 ml, so Juice, 6 ounces (half of 12 oz) × 30 = 180 ml (Remember that oz is an abbreviation for ounces.) Soup, 4 ounces × 30 = 120 ml JELL-OB, 6 ounces × 30 = 180 ml 180 + 120 + 180 = 480 ml Note that gelatin, ice cream, and other things that are liquid at room temperature are counted as fluids.
A patient that has TB can be taken off restrictions after which of the following parameters have been met?
- A. Negative culture results.
- B. After 30 days of isolation.
- C. Normal body temperature for 48 hours.
- D. Non-productive cough for 72 hours.
Correct Answer: A
Rationale: Negative culture results indicate absence of active infection, allowing the patient to be taken off restrictions.
A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?
- A. calcium
- B. magnesium
- C. potassium
- D. sodium chloride
Correct Answer: D
Rationale: Duodenal intestinal fluid is rich in K+, Na+, and bicarbonate. Suctioning to remove excess fluids decreases the client's K+ and Na+ levels.