A nurse is reviewing a client’s intake and output and notes the following: 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. The nurse should record the client’s net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The correct answer and Explanation is:
To determine the client’s net fluid intake, you need to calculate the total intake and total output and then find the difference between them.
Total Fluid Intake
- IV Infusion of 0.9% Sodium Chloride: 600 mL
- Cefazolin in Dextrose 5% in Water: 100 mL (since it’s administered in a fluid medium, it counts toward intake)
Total Fluid Intake = 600 mL + 100 mL = 700 mL
Total Fluid Output
- Emesis (vomiting): 200 mL
- Voided Urine: 40 mL
- Urine from Straight Catheterization: 20 mL
Total Fluid Output = 200 mL + 40 mL + 20 mL = 260 mL
Net Fluid Intake
Net fluid intake is calculated by subtracting the total output from the total intake:
Net Fluid Intake = Total Fluid Intake – Total Fluid Output
Net Fluid Intake = 700 mL – 260 mL = 440 mL
So, the nurse should record the client’s net fluid intake as 440 mL.
Explanation
In this calculation, the net fluid intake represents the amount of fluid retained by the client after accounting for the fluid that has been lost through output. This is crucial for monitoring the client’s fluid balance, which helps in assessing their overall hydration status and guiding further treatment or intervention. Proper documentation ensures that any necessary adjustments can be made promptly to manage the client’s condition effectively.