The nurse is completing the intake and output record for a preschool-age client admitted for fluid volume deficit. The client has had the following intake and output during the shift:

Intake:
4 oz of Pedialyte
½ of an 8-oz cup of clear orange Jell-O
2 graham crackers
200 mL of D 5 ½ sodium chloride IV
Output:
345 mL of urine
50 mL of loose stool
The nurse documents the client's intake as ____ milliliters.
What will be an ideal response?


Correct Answer: 440
Rationale: Pedialyte, Jell-O and IV fluid would be calculated for intake. The child has had 240 mL orally and 200 mL intravenously for a total of 440.

Nursing

You might also like to view...

A father is preparing a 4-year-old son for the arrival of a new baby. Which statement should the nurse suggest the father use to explain this to the child?

A) "Mother will need to spend a lot of time with the new baby.". B) "It will be fun to have a sister or brother to give your old toys to.". C) "The new baby will need your bed so we're buying you a new one.". D) "A new baby will make our family bigger but not change our love for you.".

Nursing

In which situation is the nurse allowed to breech a client's right of confidentiality?

a. A local politician is admitted after an au-tomobile accident in which he was ine-briated. b. An 18-year-old unwed teenager seeks an abortion at an abortion clinic. c. A 32-year-old housewife comes to the emergency room for care after being raped in a parking lot. d. An important member of the business community is treated for cuts and bruises after a fight with his neighbor.

Nursing

The nurse monitors the client receiving the first dose of albuterol (Proventil HFA) for which of the following side effects of this medication?

1. Drowsiness 2. Tachycardia 3. Hyperglycemia 4. Hyperkalemia

Nursing

In the context of fluid balance and electrolytes, which of the following statements is true of sodium?

A. Sodium plays a major role in maintaining normal fluid balance. B. The kidneys help maintain normal levels of sodium in plasma and other body fluids. C. Significant loss of sodium through vomiting and diarrhea reduces extracellular fluid volume. D. All of these statements are correct.

Nursing