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The nurse notes the following: client voided 400 mL at 1100 and 350 mL at 1430.

The closed chest drainage system was previously marked at 155 mL and is now at 175 mL. The NG tube has 575 mL in drainage container, and 25 mL is emptied out of the Jackson-Pratt drainage tube.

How many mL should the nurse record in the medical record as the client's output?.
Answer and Explanation

The Correct Answer is ["1370"]

Step 1 is to add all the voided urine: 400 mL + 350 mL = 750 mL.

Step 2 is to calculate the drainage from the closed chest drainage system: 175 mL - 155 mL = 20 mL.

Step 3 is to add the NG tube drainage: 575 mL.

Step 4 is to add the Jackson-Pratt drainage: 25 mL.

Step 5 is to add all the output components together: 750 mL + 20 mL + 575 mL + 25 mL = 1370 mL. The final calculated answer is 1370 mL.


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Related Questions

Correct Answer is ["16000"]

Explanation

Calculate the total fluid required in the first 24 hours using the Parkland formula: 4 mL × client weight in kg × % TBSA burned. 4 mL × 100 kg × 40 = 16000 mL. The client will require 16000 mL of fluid in the first 24 hours.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"E"}

Explanation

The client is at highest risk for developing Pneumocystis pneumonia due to their CD4 T-cell count.

  • Pneumocystis pneumonia (PCP) is an opportunistic infection commonly seen in clients with AIDS, especially when the CD4 T-cell count drops below 200/mm³.
  • This client’s CD4 count is around 198–200/mm³, placing them at high risk for PCP.
  • Respiratory findings and oxygen saturation may help identify existing pneumonia but do not explain the risk as directly as CD4 count.
  • Diarrhea and potassium level relate more to hydration and electrolyte balance, not directly to the risk of PCP.
  • Impaired gas exchange or cardiac dysrhythmias are possible complications but secondary to infection risk from low immunity.

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