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 D
Explanation
A. While this question may provide some insight into the patient's drinking habits, it is not as direct and informative as asking about the quantity of alcohol consumed.
B. This question may reveal a history of alcohol-related problems, but it does not provide information about the patient's current drinking habits.
C. While this question may be relevant in some cases, it is not a universal indicator of alcohol abuse. Many people may drink alone without having a problem with alcohol.
D. To assess an older adult's risk potential for alcohol abuse, it is important to get a sense of their drinking habits. Asking about the number of alcoholic drinks consumed each week is a direct and informative way to assess their drinking patterns.
Correct Answer is B
Explanation
A. controlling the interview by selecting the memories to be discussed: Guided reminiscence should be a collaborative process between the nurse and the patient. The nurse should facilitate the conversation and encourage the patient to share their own memories, rather than imposing specific topics.
B. Guided reminiscence is a therapeutic technique that involves helping individuals recall and reflect on past experiences. The goal is to promote positive emotions, improve cognitive function, and enhance a sense of well-being.
C. While it may be helpful to break up the reminiscence sessions into shorter intervals, the focus should be on creating a comfortable and supportive environment for the patient to share their memories.
D. While it may be helpful to prompt the patient to recall specific memories, the emphasis should be on allowing the patient to freely explore their own memories and experiences.
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