Calculate your patient's INTAKE and OUTPUT using the following information for your 1900-0700 shift.

Jevity (Tube feeding) 50 mL/hr, 6 oz. free water tube feeding flush, 2 units of PRBCs (250mL/each) of red blood cells, Zosyn IV 50 mL, 4 oz. ice chips, 0.9% NS 100 mL/hr. NG Suction: 50 mL, Urine: 1850 mL, Wound vac: 100 mL. (ANSWER INTAKE/OUTPUT)

Answer and Explanation

The Correct Answer is ["2590/2000"]

INTAKE:.

Step 1: Jevity (Tube feeding) 50 mL/hr × 12 hours = 600 mL.

Step 2: oz free water tube feeding flush. Convert ounces to milliliters: 6 oz × 30 mL/oz = 180 mL.

Step 3: units of PRBCs (250 mL/each) = 2 × 250 mL = 500 mL.

Step 4: Zosyn IV 50 mL.

Step 5: oz ice chips. Convert ounces to milliliters (ice chips are typically calculated as half their volume in liquid): 4 oz × 30 mL/oz = 120 mL; 120 mL ÷ 2 = 60 mL.

Step 6:.9% NS 100 mL/hr × 12 hours = 1200 mL.

Step 7: Total Intake = 600 mL + 180 mL + 500 mL + 50 mL + 60 mL + 1200 mL = 2590 mL. OUTPUT:.

Step 1: NG Suction: 50 mL.

Step 2: Urine: 1850 mL.

Step 3: Wound vac: 100 mL.

Step 4: Total Output = 50 mL + 1850 mL + 100 mL = 2000 mL. Answer: INTAKE: 2590 mL / OUTPUT: 2000 mL.

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Free Nursing Study Resources

Correct Answer is ["68"]

Explanation

Step 1 is: Add the ordered units of Humulin NPH and Humulin R insulin.

Step 2 is: 52 units + 16 units = 68 units. Answer: The nurse will administer 68 units. (Shade SYRINGE #3 to the 68-unit mark).

A. Have the patient lie flat before administering the medications. B. Administer the medications if the residual is 200 ml or more. C. Mix all medications together before putting them through the tube. D. Elevate the head of the patient's bed at least 30 degrees before administering the medications.

Correct Answer is D

Explanation

Choice A rationale

Having the patient lie flat before administering medications through a tube increases the risk of aspiration, as gastric contents can reflux into the esophagus and potentially enter the airway. Proper patient positioning is crucial to promote safe medication delivery and prevent pulmonary complications.

Choice B rationale

Administering medications when gastric residual volume is 200 mL or more is generally not recommended. A high residual volume indicates delayed gastric emptying, increasing the risk of aspiration and potentially affecting medication absorption. Typically, residuals of 200-250 mL or more warrant holding the feeding and reassessing.

Choice C rationale

Mixing all medications together before administration is often inappropriate and can lead to several problems. Drug incompatibilities can occur, altering medication effectiveness, causing precipitation, or leading to tube occlusion. Each medication should generally be administered separately, flushed with water between doses.

Choice D rationale

Elevating the head of the patient's bed to at least 30 degrees before administering medications through a tube significantly reduces the risk of aspiration. This semi-Fowler's position utilizes gravity to keep gastric contents in the stomach, promoting safe passage of medications and minimizing reflux into the esophagus and lungs.

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Naxlex Comprehensive Predictor Exams

The physician orders 52 units of Humulin NPH insulin and 16 units of Humulin R insulin subcutaneously every morning. The medication is supplied in 100 units/mL. How many units will the nurse administer? (Shade SYRINGE #3; LABEL CORRECTLY TO RECEIVE CREDIT)

Correct Answer is ["68"]

Explanation

The nurse is preparing to administer medications through a tube. Which of the following should she remember before administering the medications?

Correct Answer is D

Explanation

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