A client is admitted to the unit at 2300 with severe dehydration. The client is to receive IV fluids at 200 mL per hour. The physician prescribes an antibiotic to be administered every 8 hours, in 150 mL of IV fluid, which is started at 0000 (midnight) and run over 1 hour. * At 0100 the IV is infiltrated and not restarted until 0200, and is to run at the previous rate of 200 mL/hr. The client voided a total of 850 mL from 2300 to 0600. Calculate the fluid balance for the 7 shift. it is a positive fluid balance. *Note: For this client the main IV is infusing at the same time as IVPB medications are administered. Hospital policy is that intake/output is calculated at 0600) for the 2300-0700 shift.
The Correct Answer is ["500"]
Calculate the total IV fluid intake:
Main IV Fluid:
From 2300 to 0000: 1 hour x 200 mL/hr = 200 mL
From 0000 to 0100: 1 hour x 200 mL/hr = 200 mL
From 0200 to 0600: 4 hours x 200 mL/hr = 800 mL
Antibiotic IV Fluid:
Administered at 0000: 150 mL
Total IV Intake: 200 mL + 200 mL + 800 mL + 150 mL = 1350 mL
Calculate the total output:
Urine output: 850 mL (given)
Calculate the fluid balance:
Fluid Balance = Total Intake - Total Output
Fluid Balance = 1350 mL - 850 mL = 500 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["25"]
Explanation
Convert the client's weight from pounds to kilograms:
1 lb = 0.454 kg
Weight in kg = 220 lbs x 0.454 kg/lb = 99.88 kg (approximately 100 kg)
Calculate the total daily dose of Methylprednisolone:
Daily dose = 1.5 mg/kg x 100 kg = 150 mg
Calculate the dose per administration:
The daily dose is divided into four equal doses.
Dose per administration = 150 mg / 4 = 37.5 mg
Determine the concentration of the Methylprednisolone:
The medication is supplied as 7.5 mg per 5 mL.
Concentration = 7.5 mg / 5 mL = 1.5 mg/mL
Calculate the volume (in mL) to administer per dose:
Use the concentration as a conversion factor:
Volume (mL) = Dose per administration (mg) / Concentration (mg/mL) Volume (mL) = 37.5 mg / 1.5 mg/mL = 25 mL
Correct Answer is ["2403"]
Explanation
Convert the patient's weight from pounds to kilograms:
176.3 pounds / 2.2 pounds/kg = 80.136 kg (approximately 80.1 kg)
Calculate the total fluid volume based on the prescribed dosage:
30 mL/kg x 80.1 kg = 2403 mL
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