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Intake and Output Practice Packet

I&O.……………………..……..2-5

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Parenteral Intake…………6-8

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Calculate the intake for problems 1 through 5.

1. The patient drank 180 mL of coffee, 6 ounces of orange juice, and 180 mL water. What is the patient’s intake?

2. For lunch, the patient ate 3 oz of ice cream and drank 8 oz of milk and one 6 oz glass of ice chips. What is the patient’s intake?

3. For breakfast, the patient takes 2 Tbs of gelatin, drinks 240 mL of coffee, and 4 ounces of apple juice. For lunch, the patient drinks 180 mL of milk and 450 mL of water. What is the patient’s total intake?

4. The patient has formula feedings through a feeding tube. She is given 300 mL every 4 hours (0400, 0800, 1200, 1600, 2000, 2400) around the clock. The nurse gives 100 mL of water after each feeding. How much intake will the patient receive in the 2300 to 0700 (11 to 7) shift?

5. The patient has tube feedings. He is given 225 mL every 4 hours (0200, 0600, 1000, 1400, 1800, 2200) around the clock. The nurse gives 50 mL of water after each feeding. An additional 100 mL of water is adminis- tered after the medications are given at 1200. How much intake will the patient receive in the 0700 to 1500 (7 to 3) shift?

Calculate the output for problems 6 through 10.

6. The patient voided 180 mL at 8:00 AM and 435 at 2:00 PM. Complete the patient’s output record.

D e v e l o p i n g C o m p e t e n c y

Intake and Output Worksheet

Shift Oral Urine Emesis Drainage Other

7–3

Total (mL)

2496_Ch19_423-440 25/08/16 4:50 PM Page 437

DeCastillo, S. L. M., & Werner-McCullough, M. (2016). Calculating drug dosages : a patient-safe approach to nursing and math. Retrieved from http://ebookcentral.proquest.com Created from ras on 2018-11-04 13:53:52.

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Calculating Intake and Output Practice

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8. The patient has a nasogastric tube connected to suction. The nasogastric tube drained 250 mL of gastric drainage. The patient voided 300 mL at 4:30 PM and 175 mL at 8:00 PM. Complete the patient’s output record.

9. The patient has a continuous bladder irrigation infusing at 50 mL/hr from 7:00 AM to 12:00 PM. At 3:00 PM, the nurse emptied 925 mL from the urinary drainage bag. Calculate the actual urine output.

10. The patient has a continuous bladder irrigation infusing at 75 mL/hr from 3:00 PM to 8:00 PM. At 11:00 PM, the nurse emptied 1,175 mL from the urinary drainage bag. Calculate the actual urine output.

Calculate the intake and output for problems 11 through 15.

11. For breakfast, the patient took one 180 mL cup of coffee, 240 mL of milk, and a 4 oz glass of juice. For lunch, the patient took 240 mL of water and 6 oz of tea. The patient has a wound drainage device. At the end of the shift, the nurse emptied 30 mL from the wound drainage device. The patient voided 225 mL at 8:00 AM and 150 mL at 2:00 PM. Use the I & O worksheet to record the patient’s intake and output for the 7 to 3 shift.

Intake and Output Worksheet

Shift Oral Urine Emesis Drainage Other

3–11 (NG)

Total (mL)

Intake and Output Worksheet

Shift Oral Urine Emesis Drainage Other

7–3 (Wound)

Total (mL)

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7. The patient had emesis of 200 mL at 10:00 AM and voided 325 at 12:00 PM and 175 at 2:00 PM. Complete the patient’s output record.

Intake and Output Worksheet

Shift Oral Urine Emesis Drainage Other

7–3

Total (mL)

3

12. For dinner, the patient drinks 6 oz of tea, 180 mL of broth, 9 oz of soda, and eats two popsicles (3 ounces each). He drank 500 mL of water for the shift. The patient has a continuous bladder irrigation infusing at 25 mL/ hr from 4:00 PM to 11:00 PM. At 11:00 PM, the nurse empties 725 mL from the urinary drainage bag. Use the I & O worksheet to record the patient’s intake and output for the 7 to 3 shift.

13. The patient has a continuous tube feedings infusing at 75 mL/hr for the 2300 to 0700 shift. The nurse gives 100 mL of water after the administration of medications at 0200. Record the patient’s 8 hr intake on I & O worksheet for the 2300 to 0700 (11 to 7) shift.

Intake and Output Worksheet

Shift Oral Urine Emesis Drainage Other

3–11 (UA catheter)

Total (mL)

Intake and Output Worksheet

Shift Oral Tube Urine Emesis Other

11–7 (Feeding)

Total (mL)

2496_Ch19_423-440 25/08/16 4:50 PM Page 439

DeCastillo, S. L. M., & Werner-McCullough, M. (2016). Calculating drug dosages : a patient-safe approach to nursing and math. Retrieved from http://ebookcentral.proquest.com Created from ras on 2018-11-04 13:53:52.

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14. For breakfast, the patient drank one 180 mL cup of coffee and a 4 oz glass of juice. For lunch, the patient ate 3 tsp of gelatin and drank 6 oz of tea. The patient voided 525 mL at 8:00 AM and 300 mL at 2:00 PM. The nurse emptied 35 mL of wound drainage for the shift. Record the total intake and output on the electronic record for the 0700 to 1500 (7 to 3) shift.

15. For breakfast, the patient drank 6 tsp of milk, 240 mL of coffee, and 3 ounces of juice. For lunch, the patient drank an 8 ounce container of milk and 550 mL of water during the shift. The patient has a continuous bladder irrigation infusing at 60 mL/hr from 10:00 AM to 15:00 PM. At 1500, the nurse emptied 1,025 mL from the urinary drainage bag. Record the total intake and output on electronic record for the 0700 to 1500 (7 to 3) shift.

Provider DateJ. Physician, MD 3-18-xx

Name

MR #

M. Patient

98705

Age

Allergies

73

NKDA

Gender

Room

M DOB 8-01-xx

316

Intake and Output Record

Intake Output

Oral IV IVPB Urine Emesis Wound

Provider DateC. Physician, MD 4-20-xx

Name

MR #

N. Patient

76321

Age

Allergies

62

NKDA

Gender

Room

F DOB 12-07-xx

401

Intake and Output Record

Intake Output

Oral IV IVPB Urine Emesis Wound

2496_Ch19_423-440 25/08/16 4:50 PM Page 440

DeCastillo, S. L. M., & Werner-McCullough, M. (2016). Calculating drug dosages : a patient-safe approach to nursing and math. Retrieved from http://ebookcentral.proquest.com Created from ras on 2018-11-04 13:53:52.

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Calculate the parenteral intake for the following problems.

1. On the 7 to 3 shift, the patient has an IV of D5/0.9% NaCL started at 1100 to infuse at 150 mL/hr. The I & O record is closed at 1400, 1 hour prior to the end of the shift. Calculate the parenteral intake.

2. An IV of 1,000 mL of 0.45% NaCl is started at 1600 to infuse at 125 mL/hr. The I & O record is closed at 2200, 1 hour prior to the end of the shift. Calculate the parenteral intake for the 1500 to 2300 shift.

3. A liter of D5/0.45% NS is started at 0200 to infuse at 75 mL/hr. The IV flow rate is increased at 0400 to 100 mL/hr per M.D. order. The I & O record is closed at 0600, 1 hour prior to the end of the shift. Calculate the parenteral intake for the 2300 to 0700 shift.

4. A liter of lactated Ringer’s is started at 0700 to infuse at 150 mL/hr. The IV flow rate is decreased at 1100 to 100 mL/hr per MD order. The I & O record is closed at 1400, 1 hour prior to the end of the shift. Calculate the parenteral intake for the 0700 to 1500 shift.

5. A liter of 0.9% NaCl is started at 1700 to infuse at 100 mL/hr. The IV infiltrates at 2000 and is restarted at 2200 at the same IV rate. The I & O record is closed at 2200, 1 hour prior to the end of the shift. Calculate the parenteral intake for the 1500 to 2300 shift.

6. 500 mL of 0.9% NaCl is started at 0900 to infuse at 75 mL/hr. The patient pulls out the IV at 1200. The nurse restarts the IV at 1300 at the same IV rate. The I & O record is closed at 1400, 1 hour prior to the end of the shift. Calculate the parenteral intake for the 0700 to 1500 shift.

D e v e l o p i n g C o m p e t e n c y

2496_Ch20_441-462 25/08/16 4:51 PM Page 455

DeCastillo, S. L. M., & Werner-McCullough, M. (2016). Calculating drug dosages : a patient-safe approach to nursing and math. Retrieved from http://ebookcentral.proquest.com Created from ras on 2018-11-04 13:57:12.

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Calculating Parenteral Intake Practice

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7. The patient receives the following IVPBs: Cefazolin 1 g in 100 mL D5W IVPB q.8h at 0900 – 1700 – 0100 and Ondansetron 10 mg in 50 mL 0.9% NaCl at 1000. (A) What is the IVPB intake for the 0700 to 1500 shift? (B) What is the IVPB intake for the 1500 to 2300 shift?

8. The patient receives the following IVPBs: Furosemide 20 mg in 50 mL 0.9% NaCl IVPB at 1300 and Phenytoin 50 mg in 50 mL 0.9% NaCl IVPB at 1600. (A) What is the IVPB intake for the 0700 to 1500 shift? (B) What is the IVPB intake for the 1500 to 2300 shift?

9. The patient receives the following IVPBs: Naficillin 0.5 g in 50 mL D5W IVPB q.4h at 0900 – 1300 – 1700 – 2100 – 0100 – 0500 and Famotidine 20 mg IVPB in 50 mL 0.9% NaCl q.12h at 0800 and 2000. A. What is the IVPB intake for the 0700 to 1500 shift? B. What is the IVPB intake for the 1500 to 2300 shift? C. What is the IVPB intake for the 2300 to 0700 shift?

10. The nurse is reviewing the patient’s electronic medication record and administers the ordered IVPB for the 3 to 11 shift. Record the IVPB intake on the intake and output record.

11. The patient has an IV of D5/NS started at 0800 to infuse at 100 mL/hr continuously. The I & O record is closed at 1400, 1 hour prior to the end of the shift. Select the correct parenteral intake for the 0700 to 1500 shift. a. 600 mL b. 700 mL c. 800 Ml

12. The patient receives the following IVPBs: Tobramycin 50 mg in 100 mL D5W IVPB q.AM at 0900 and Famotidine 20 mg IVPB in 100 mL 0.9% NaCl q.12h at 0800 and 2000. The nurse calculated that the patient received 450 mL of IV fluid from the primary line for the 1500 to 2300 shift. Select the correct parenteral intake for the 1500 to 2300 shift. a. 450 mL b. 550 mL c. 650 mL

13. The patient receives the following IVPBs: Tobramycin 50 mg in 100 mL D5W IVPB q.AM at 0900 and Famotidine 20 mg IVPB in 100 mL 0.9% NaCl q.12h at 0800 and 2000. The nurse calculated that the patient received 1,000 mL of IV fluid from the primary line for the 2300 to 0700 shift. Select the correct parenteral intake for the 2300 to 0700 shift. a. 875 mL b. 975 mL c. 1000 mL

Electronic Medical Record

Date Time 21008-05-xx

MAR

Time

Scheduled Medications

Drug name Dose Route Freq.

0900 Rocephin in 50 mL NS 0.5 g IVPB q.AM

q.12h

over 30 min.

2100 Furosemide in 50 mL NS 80 mg IVPB

over 30 min.

Name

MR #

T. Patient

234371

Age

Allergies

57

NKDA

Gender

Room

F DOB 9-15-xx

102

Shift Date1500–2300 8-06-xx

Name

MR #

T. Patient

234371

Age

Allergies

57

NKDA

Gender

Room

F DOB 9-15-xx

102

Intake and Output Record

Intake Output

IVOral IVPB Blood Urine Emesis

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DeCastillo, S. L. M., & Werner-McCullough, M. (2016). Calculating drug dosages : a patient-safe approach to nursing and math. Retrieved from http://ebookcentral.proquest.com Created from ras on 2018-11-04 13:57:12.

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14. The patient has an IV of D5/NS started at 0100 to infuse at 150 mL/hr for the first 3 hours and then the rate is decreased to 75 mL/hr. The I & O record is closed at 0600, 1 hour prior to the end of the shift. Select the correct parenteral intake for the 2300 to 0700 shift. a. 600 mL b. 700 mL c. 800 mL

15. The patient has an IV of lactated Ringer’s started at 1700 to infuse at 125 mL/hr for the first 4 hours and then the rate is decreased to 75 mL/hr. The I & O record is closed at 2200, 1 hour prior to the end of the shift. Select the correct parenteral intake for the 1500 to 2300 shift. a. 500 mL b. 575 mL c. 650 mL

2496_Ch20_441-462 25/08/16 4:51 PM Page 457

DeCastillo, S. L. M., & Werner-McCullough, M. (2016). Calculating drug dosages : a patient-safe approach to nursing and math. Retrieved from http://ebookcentral.proquest.com Created from ras on 2018-11-04 13:57:12.

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• Intake and Output Practice Packet
• Intake and Output Practice
• Faculty Guide_Calculating Intake and Output (Chapter 19)
• Faculty Guide_Parenteral Intake (Chapter 20)

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