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The nurse is calculating the output of a client at the end of the shift. The nurse notes the following: the client voided 400 mL at 1100 and 350 at 1415. The chest tube was previously marked at 155 mL and is now 175 mL. The nasogastric tube has 575 mL in the drainage container and the Jackson Pratt drain had 25 mL emptied from it. How many ml's should the nurse record as output for the shift
Answer and Explanation

The Correct Answer is ["1370"]

To calculate total output, we sum all recorded outputs:

  • Urine output:
    • 400 mL + 350 mL = 750 mL
  • Chest tube drainage:
    • 175 mL (current) - 155 mL (previous) = 20 mL
  • Nasogastric tube drainage: 575 mL
  • Jackson-Pratt drain output: 25 mL

Total Output = 750 + 20 + 575 + 25 = 1,370 mL

Correct Answer: 1,370 mL


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Related Questions

Correct Answer is B

Explanation

A. Provide water for a client diagnosed with chronic kidney disease: Fluid intake must be controlled in CKD. A nurse should determine if water intake is appropriate.

B. Instruct the client on appropriate fluid restrictions: Client education is a nursing responsibility and cannot be delegated to a UAP. The nurse should educate clients on fluid restrictions in conditions like chronic kidney disease (CKD) to prevent fluid overload and electrolyte imbalances.

C. Measure the client’s output from the indwelling catheter: This task can be delegated to a UAP.

D. Record the client’s intake and output in the EMR: UAPs can record I&O but cannot interpret the data.

Correct Answer is B

Explanation

A. Milk and organ meats. These foods do not contain excessive sodium.

B. Cheese, lunch meats, and canned vegetables: These foods are high in sodium, which can worsen hypernatremia by increasing serum sodium levels. Processed meats and canned vegetables contain excess salt and preservatives.

C. Alcohol and fried foods. Alcohol can cause dehydration, but not necessarily high sodium levels.

D. Green leafy vegetables and salt substitutes. Green leafy vegetables are low in sodium, and some salt substitutes contain potassium, not sodium.

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