The nurse is working for a medical unit in a hospital. The nurse is responsible for obtaining intake and output measurements for patients. What items should be considered intake? (Select all that apply.)
a. Gelatin eaten as a snack or for lunch or dinner
b. Water used to flush tubing between jejunostomy feedings
c. Amount of fluid contained in the gastric suction container
d. Volume of the blood components that were given IV
e. Volume of the postsurgical wound drainage
A, B, D
Fluid intake includes all liquids that a person eats (e.g., gelatin, ice cream, broth), drinks (e.g., juice, coffee, tea, water), or receives through nasogastric or jejunostomy feeding tubes. Intravenous fluids (continuous and intermittent) and blood components also count as intake. A patient receiving tube feedings may receive numerous liquid medications; water will be used to flush the tube before and/or after the medications. Liquid output includes urine, diarrhea, vomitus, gastric suction, and blood and drainage from postsurgical wounds, burns, or other tubes.
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