Answer:
5418.54 ft
Explanation:
So sea level is 0, okay? So Nadia (her name is more than 3 letters and I'm lazy so from now on she'll be reffered to as "N") is at -19. 26 ft. N goes up 5,437.8 ft, so we add this value on.
-19. 26+ 5437.8= 5418.54
Now just add on the units!
Hope this helps!