A nurse is calculating a client's fluid intake over the past 8 hours. The client had one 8-ounce cup of coffee, 3 ounces of juice, and 12 ounces of soda. The client's water pitcher had 800 mL and 200 mL remaining. The client also had IV fluids infusing at 40 mL per hour via an IV pump. How many mL should the nurse document as the client's total intake for the shift?
Explanation & Rationale
Step 1: Convert ounces to milliliters for oral intake. 8 ounces of coffee × 30 mL/ounce = 240 mL. 3 ounces of juice × 30 mL/ounce = 90 mL. 12 ounces of soda × 30 mL/ounce = 360 mL. Step 2: Calculate the amount of water consumed from the pitcher. Initial amount - Remaining amount = Consumed amount. 800 mL - 200 mL = 600 mL. Step 3: Calculate the total oral fluid intake. Coffee + Juice + Soda + Water = Total oral intake. 240 mL + 90 mL + 360 mL + 600 mL = 1290 mL. Step 4: Calculate the total IV fluid intake over 8 hours. IV rate × Time = Total IV fluid. 40 mL/hour × 8 hours = 320 mL. Step 5: Calculate the total fluid intake (oral + IV). Total oral intake + Total IV fluid = Total intake. 1290 mL + 320 mL = 1610 mL. The nurse should document 1610 mL as the client's total intake for the shift.