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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Cardiac arrest: Cardiac arrest is a complication of severe hypothermia, not a risk factor.
B. Falling through the ice: Major risk factor for accidental hypothermia due to immersion in cold water.
C. Head trauma: Impaired thermoregulation in the brainstem can cause hypothermia.
D. Drug use: Certain drugs (e.g., alcohol, sedatives) impair the body’s ability to regulate temperature, increasing hypothermia risk.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"C"}}
Explanation
|
Solutions |
Hypotonic |
Isotonic |
Hypertonic |
|
0.45% sodium chloride |
✅ |
||
|
0.9% sodium chloride |
✅ |
||
|
Lactated Ringers |
✅ |
||
|
Albumin |
✅ |
0.45% Sodium Chloride (Hypotonic): Has lower osmolarity than blood, causing fluid to shift into cells, making them swell. Used for dehydration and intracellular rehydration.
0.9% Sodium Chloride (Isotonic): Has the same osmolarity as blood, so it stays in the intravascular space. Used for fluid resuscitation (hypovolemia, dehydration, shock).
Lactated Ringers (Isotonic): Contains electrolytes (Na+, K+, Ca2+, lactate), making it ideal for burns, surgery, and trauma patients. Maintains intravascular volume without fluid shifts.
Albumin (Hypertonic): Large protein that pulls fluid into the intravascular space (colloid osmotic pressure). Used for hypovolemia, burns, or severe hypoalbuminemia.
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