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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
0.25 mg = 250 mcg
Number of tablets = Desired dose (mcg) / Tablet strength (mcg) Plugging in the given values:
Number of tablets = 250 mcg / 100 mcg/tablet Number of tablets = 2.5 tablets
Therefore, the nurse should administer 2.5 tablets of levothyroxine sodium (Synthroid) to the patient.
Correct Answer is C
Explanation
A. While ensuring confidentiality is crucial for building trust and encouraging openness, it is often a standard assurance given after establishing a rapport. It does not directly address immediate comfort or the setting of the interview, which can have a significant impact on the patient’s initial anxiety.
B. Explaining the reason for asking questions can help the patient understand the purpose of the interview, making them feel more comfortable and less anxious. This can also help in building trust and encouraging the patient to provide more accurate and complete information. However, this explanation usually comes after ensuring that the interview environment is comfortable and private.
C. Creating a comfortable and private environment is a critical first step. A well-arranged and private interview area helps to make the patient feel safe and at ease, reducing their anxiety and enabling them to speak more freely. It sets the stage for a more successful and effective interview.
D. Allowing the patient to ask questions about the interview can be beneficial and may help in reducing anxiety. It provides an opportunity to clarify any uncertainties the patient might have. However, this step is usually more effective after addressing the immediate comfort and privacy concerns of the interview setting.
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