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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 D

Explanation

A. Respiratory Alkalosis: Alkalosis results from hyperventilation, which is not expected with thoracic trauma.

B. Metabolic Acidosis: Metabolic acidosis occurs due to renal failure, lactic acidosis, or diarrhea, not thoracic trauma.

C. Metabolic Alkalosis: Alkalosis can result from vomiting or excessive bicarbonate intake, not respiratory failure.

D. Respiratory Acidosis: Severe thoracic trauma can impair lung expansion, leading to hypoventilation and CO₂ retention, causing respiratory acidosis.

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

Explanation

Respiratory acidosis- Due to opioid-induced respiratory depression (hypoventilation, CO₂ retention). Phlebitis- Due to IV therapy (15g IV and 0.9% NS at 150mL/hr), increasing the risk of vein irritation and inflammation.

Incorrect answers:

  • Metabolic alkalosis: typically occurs due to vomiting or excessive bicarbonate intake.
  • Hypervolemia: The client is receiving IV fluids, but there is no evidence of fluid overload.
  • Osteomyelitis: Infection of the bone; not a direct risk in this scenario.

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