HELP!!!!!!!!!!!!!!!!!!

Students NCLEX

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The nurse documents the following intake and output for a client over an 8-hour period (0700 to 1500):

[TABLE]

[TR]

[TD=class: no-margin-table]Time[/TD]

[TD=class: no-margin-table]I & O Documentation[/TD]

[/TR]

[TR]

[TD=class: no-margin-table]0700[/TD]

[TD=class: no-margin-table]IV D 5W infusing; 900 mL remaining in bag.[/TD]

[/TR]

[TR]

[TD=class: no-margin-table]0830[/TD]

[TD=class: no-margin-table]150 mL urine voided.[/TD]

[/TR]

[TR]

[TD=class: no-margin-table]0900[/TD]

[TD=class: no-margin-table]16 oz of ice chips consumed. 200 mL gastric tube formula and 50 mL water administered.[/TD]

[/TR]

[TR]

[TD=class: no-margin-table]1200[/TD]

[TD=class: no-margin-table]200 mL gastric tube formula and 50 mL water administered.[/TD]

[/TR]

[TR]

[TD=class: no-margin-table]1300[/TD]

[TD=class: no-margin-table]220 mL urine voided.[/TD]

[/TR]

[TR]

[TD=class: no-margin-table]1415[/TD]

[TD=class: no-margin-table]230 mL urine voided.[/TD]

[/TR]

[TR]

[TD=class: no-margin-table]1500[/TD]

[TD=class: no-margin-table]IV D 5W infusing; 550 mL remaining in bag. 200 mL gastric tube formula and 50 mL water administered.[/TD]

[/TR]

[/TABLE]

Calculate the client's total fluid intake for the 8-hour shift. (Record your answer using a whole number. Do not round.)

My calculated total intake is 1580 but i was marked wrong. Why is Ice Chips divided into half?

RATIONALE FROM THE REVIEW

The client's input includes intravenous fluid (IVF): 900 mL at start of shift minus 550 mL remaining = 350 mL. Ice chips: half of frozen volume is 8 oz = 240 mL (1 oz = 30 mL). Enteral formula plus water: 250 mL at 0900, 1200, and 1500 = 750 mL. Total fluid intake = 1340 mL.

NICU Guy, BSN, RN

4,161 Posts

Specializes in NICU.
My calculated total intake is 1580 but i was marked wrong. Why is Ice Chips divided into half?[/b]

Because a 16 oz cup of ice chips contains air in between the ice chips. If you let the ice chips melt, it will not equal 16 oz. If you took a 16 oz cup of water and put in a freezer, when it is frozen, compare the weight to a 16 oz cup of ice chips. The ice chips are considerably lighter.

OcMurse93

183 Posts

Ice chips are always half of their volume. E.g. 16 oz of ice chips = 8 oz of intake. Its just a rule you need to know.

Solarod

59 Posts

Ice chips are always half of their volume. E.g. 16 oz of ice chips = 8 oz of intake. Its just a rule you need to know.

Noted. Thanks OcMurse93

Solarod

59 Posts

Because a 16 oz cup of ice chips contains air in between the ice chips. If you let the ice chips melt, it will not equal 16 oz. If you took a 16 oz cup of water and put in a freezer, when it is frozen, compare the weight to a 16 oz cup of ice chips. The ice chips are considerably lighter.

Thanks Guy in Babyland

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