Final answer:
Of the options presented, the nurse should document half of 1 cup of coffee as 120 mL of fluid intake on the client's record. This is based on the standard measurement where 1 cup is approximately 240 mL, therefore half of that amount is 120 mL.
Step-by-step explanation:
The student question is concerning which of the following items should be documented as 120 mL of fluid on a client's intake and output record by a nurse. It is important to remember that fluid intake includes not just beverages but also the water content in foods like fruits, which contain a significant amount of water. When we consider the options provided, the one that should be documented as 120 mL is:
- a) 1 cup of coffee: Since 1 cup is typically considered to be 240 mL, half a cup would be 120 mL. Therefore, the nurse would plan to document half a cup of coffee as 120 mL of fluid.
- b) 1 medium apple: While apples do contain water, their fluid content can vary and is not likely to be exactly 120 mL. Additionally, it is less precise compared to a measured liquid intake.
- c) 1 slice of bread: Bread is not a liquid and would not be measured in milliliters for fluid intake.
- d) 1 teaspoon of sugar in tea: The teaspoon of sugar would dissolve in the tea, and since sugar volume is quite small, it's not something that would add measurably to the volume of fluid intake.
Therefore, of the options presented, the nurse should document 1 cup of coffee as 120 mL of fluid intake, keeping in mind that this implies the patient only consumed half of the cup if using standard measurements.