Difficulty: Medium
Average Score: 82%
Simulated
How should the nurse record the net fluid intake for a client who received 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization?
Correct answer
D
Rationale
The correct answer is D: 440 mL. To calculate net fluid intake, subtract output from intake. Total intake is 700 mL (IV infusion 600 mL + IV bolus 100 mL). Total output is 260 mL (emesis 200 mL + voided urine 40 mL + catheterized urine 20 mL). Therefore, net fluid intake is 700 mL - 260 mL = 440 mL. Choice A is incorrect because it only includes the IV infusion volume. Choices B and C are incorrect as they do not account for the IV bolus volume. Choices E, F, and G are not applicable as they are not filled in.