62. When reviewing a patient's intake and output (I&O) on a clear diet, a healthcare provider notes a drainage bag output of 1,500 mL over 24 hours. The patient's intake includes: 3 6oz cups of coffee, 1 16-oz clear soup, and 2 pints of water. What is the fluid deficit in milliliters?
Answer: A
The fluid deficit is 480 mL.
The fluid deficit can be calculated by determining the total intake and subtracting the output. In this case, the total intake of fluids is 1,680 mL, while the output is 1,500 mL, resulting in a fluid deficit of 480 mL.
A) 480ml
Option A is correct because, after calculating the total intake (3 cups of coffee at 6 oz each = 18 oz, 16 oz of clear soup, and 2 pints of water = 64 oz), the total fluid intake equals 82 oz, which converts to approximately 2,420 mL. The output of 1,500 mL leads to a fluid deficit of 480 mL after performing the subtraction.
B) 840ml
Option B is incorrect as it does not reflect the actual fluid deficit calculated from the total intake and output. A deficit of 840 mL would imply a significantly higher intake or lower output than what was recorded, which does not match the data provided.
C) 240ml
Option C is also incorrect. The calculation of a fluid deficit of 240 mL does not align with the intake and output figures provided. The intake was sufficient to indicate a higher deficit than this option suggests.
D) 460ml
Option D is incorrect as it underestimates the fluid deficit. The calculation shows a deficit of 480 mL, so a deficit of 460 mL does not accurately reflect the patient's intake and output ratio.
Conclusion
The correct answer is 480 mL, as it accurately represents the fluid deficit calculated from the patient's intake and output data. All other options fail to match the arithmetic derived from the provided information, confirming that Option A is the only valid choice based on the given context.