What is the calculated fluid balance after an 8-hour shift for a client who drinks a 6-oz cup of tea and 360 mL of water, vomits 100 mL, and has equal IV fluid and urinary output?

To determine the calculated fluid balance for the client, it's essential to analyze the total intake and total output over the 8-hour shift.

The client ingests a total of 6 ounces of tea, which converts to approximately 180 mL (since 1 ounce equals about 30 mL). Therefore, together with the 360 mL of water, the total fluid intake amounts to:

• Tea: 180 mL

• Water: 360 mL

Adding these gives a total fluid intake of 540 mL.

Next, we need to consider the fluid output. The client vomits 100 mL, which directly affects the total fluid output. Additionally, there is equal IV fluid and urinary output, but since the amount of these is not specified, we can denote this combined output as X mL for both IV fluids and urine. The sum of all outputs includes this fluid output (X) along with the vomiting:

• Vomiting: 100 mL

• Total Output: X (IV and urinary output combined) + 100 mL

Since it's stated that the IV fluids and urinary output are equal, we know that any excess fluid they received will balance with the fluids lost through urine output.

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