The nurse is monitoring the intake and output of an elderly patient at risk for dehydration closely. The patient drank 4 fl oz of orange juice for breakfast, 6 fl oz of apple juice for lunch, and 5 fl oz of cranberry juice for dinner. The unlicensed assistive personnel (UAP) reports the patient drank 1600 mL of water for their entire 12 hour shift. How many mLs should the nurse document as the patient's total input? Please only enter the numeric portion of your answer with no commas, spaces or units in the answer box.

Answer and Explanation

The Correct Answer is ["2044"]

Approximately 29.5735 mL in a fluid ounce. So, the patient drank about 118.294 mL of orange juice (4 fl oz), 177.441 mL of apple juice (6 fl oz), and 147.8675 mL of cranberry juice (5 fl oz). Adding these amounts to the 1600 mL of water gives us a total of 2043.6025 mL.

Therefore, the nurse should document the patient's total intake as 2044 mL.

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Correct Answer is ["B","D","E"]

Explanation

A. Easy bleeding is not a common side effect or concern associated with benzodiazepines. This symptom is more typically associated with anticoagulant medications or conditions affecting blood clotting. While it’s essential to monitor for side effects, easy bleeding is not directly related to benzodiazepine use.
B. Shortness of breath is not a typical side effect of benzodiazepines. However, it is important to monitor respiratory function in patients on any medication, especially if there are signs of respiratory distress or if the patient is on other medications that might interact with benzodiazepines. A
C. Benzodiazepines are known to cause cognitive impairments, including forgetfulness. This is particularly concerning in older adults, who may be more vulnerable to cognitive side effects. Memory issues and confusion can impact daily functioning and increase the risk of accidents and falls.
D. Daytime sleepiness is a common side effect of benzodiazepines due to their sedative properties. This side effect can significantly affect daily activities and increase the risk of falls and accidents. It’s essential to monitor patients for excessive drowsiness, as it can impact their safety and overall quality of life.
E. Benzodiazepines can cause motor impairment, including unsteady gait and increased risk of falls. This is particularly problematic in older adults who may already have decreased balance and coordination. Monitoring for unsteady gait is crucial to prevent falls and other injuries related to impaired mobility.

Correct Answer is ["2044"]

Explanation

Therefore, the nurse should document the patient's total intake as 2044 mL.

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Naxlex Comprehensive Predictor Exams

A 69-year-old was prescribed a benzodiazepine 3 years ago. This medication regimen increases the patients risk for injury related to drug abuse and requires frequent patient assessment for which of the following? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

Correct Answer is ["2044"]

Explanation

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