RN Nursing · Medication Administration and Dosage Calculations · Practice question
The nurse is documenting the intake and output for a client. Given the following data, what is the total output amount? Record the answer as a whole number.Intake/Output0800: 100mL water with medications0930: 200mL urine1100: 1 cup of tea1200: 75mL brown emesis1400:500mL IV fluid1600: 350mL urine1700:200mL clear yellow urine1830: 50mL Vancomycin intravenously
Answer & explanation
Correct:
Output includes all fluids that leave the body, which encompasses urine, emesis, wound drainage, and similar losses. Intake values (oral fluids, IV fluids, medications administered intravenously) are not counted as output. From the data provided, the output items are: 200 mL urine at 0930, 75 mL brown emesis at 1200, 350 mL urine at 1600, and 200 mL clear yellow urine at 1700. Adding these together: 200 + 75 + 350 + 200 = 825 mL. The 100 mL water with medications, 1 cup of tea (approximately 240 mL), 500 mL IV fluid, and 50 mL Vancomycin intravenously are all intake items and are excluded from the output total. A common student error is including IV medications or fluids in the output column, or inadvertently summing intake and output together. Another mistake is forgetting to count emesis as output — any fluid lost from the body, including vomit, counts toward output. The correct total output is 825 mL.
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