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For dinner the client drank two 8 oz cups of coffee and had a 12 ounce soft drink at 2100. The client voided 4 times on your shift (100ml, 250mL 300ml, and 550mL). At 1700 the client had 100mL emesis. Calculate the intake from 1500 to 2300 when your shift ends. Round your answer to the nearest whole number.

Answer and Explanation

The Correct Answer is ["28"]

2 cups of coffee: 2 cups 8 oz/cup = 16 oz

1 soft drink: 12 oz

Total intake from 1500 to 2100 = 16 oz (coffee) + 12 oz (soft drink) = 28 oz

From 2100 to 2300 (2 hours):

No additional intake mentioned in the question.

Total intake from 1500 to 2300 = 28 oz (from 1500 to 2100)

Therefore, the total intake from 1500 to 2300 is 28 ounces.

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Correct Answer is B

Explanation

A. A lithium level of 0.9 mEq/L falls within the therapeutic range for lithium, so it is not too low.

B. A lithium level of 0.9 mEq/L is within the therapeutic range for lithium maintenance therapy, which typically ranges from 0.6 to 1.2 mEq/L. Therefore, it is considered therapeutic.
C. Lithium is commonly monitored with blood levels to ensure therapeutic efficacy and to prevent toxicity.
D. A lithium level of 0.9 mEq/L is not too high; it is within the therapeutic range.

A. Do slow position changes to avoid falls from lowering blood pressure." B. if you feel short of breath, use a rescue inhaler. C. "If possible, try to avoid rooms that are cold." D. "Make sure to seek care immediately if you're not able to urinate."

Correct Answer is D

Explanation

A. Do slow position changes to avoid falls from lowering blood pressure: This is not the priority teaching point for an anticholinergic medication. While some anticholinergics can cause orthostatic hypotension, the risk of urinary retention is a more significant concern.
B. If you feel short of breath, use a rescue inhaler: This instruction is unrelated to the use of anticholinergic medication and may be more relevant for patients with emphysema.
C. "If possible, try to avoid rooms that are cold.": Avoiding cold rooms is not directly related to the use of anticholinergic medication. The priority teaching point should address potential adverse effects specific to the medication.
D. "Make sure to seek care immediately if you're not able to urinate.": Anticholinergic medications can exacerbate urinary retention, particularly in older adults with benign prostatic hyperplasia. It's crucial for the patient to understand the importance of seeking medical attention if they experience difficulty urinating.

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Naxlex Comprehensive Predictor Exams

A patient has been taking lithium for 1 year, and the most recent lithium level is 0.9 mEq/L. Which statement about the laboratory result is correct?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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