A patient with heart failure is on strict fluid restriction of 1500 mL per 24 hours. At 1400 hours (2:00 PM), the cumulative intake is 980 mL. The patient requests 240 mL of juice and asks about dinner fluid options. The dinner tray typically includes 200 mL soup, 250 mL milk, and 180 mL coffee. To stay within the restriction, what is the maximum additional fluid intake allowed for the remainder of the day? Answer: 520 mL remaining, allowing juice but requiring dinner modification choices
Daily fluid restriction: 1500 mL. Current intake at 1400 hours: 980 mL. Remaining allowance: 1500 - 980 = 520 mL. If patient drinks 240 mL juice, remaining would be 520 - 240 = 280 mL. Dinner fluids total 200 + 250 + 180 = 630 mL, which exceeds the 280 mL remaining after juice. Therefore, the patient can have juice but dinner fluids must be modified/limited. Option A correctly identifies 520 mL remaining and the need for dinner modification.
