Ordered: 2000 mL of NS over 24 hours with a maximum total IV fluids at 2000 mL daily. IVPB of gentamicin 100 mg in 50 mL of D5W q6h over 30 minutes is also ordered. Calculate the rate of the NS using an electronic controller.

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Question 1 of 5

Ordered: 2000 mL of NS over 24 hours with a maximum total IV fluids at 2000 mL daily. IVPB of gentamicin 100 mg in 50 mL of D5W q6h over 30 minutes is also ordered. Calculate the rate of the NS using an electronic controller.

Correct Answer: A

Rationale: Total gentamicin volume = 50 mL * 4 = 200 mL; NS volume = 2000 - 200 = 1800 mL; Rate = 1800 / 22 hr (24 - 2 hr for IVPB) ≈ 81.81 mL/hr.

Question 2 of 5

Which of the following is not used for surgical scrub

Correct Answer: C

Rationale: Glutaraldehyde is a sterilant, not used for surgical hand scrubbing.

Question 3 of 5

Which of the following cannot be used for sealing of blood vessels

Correct Answer: D

Rationale: Doppler scan is for imaging, not sealing vessels.

Question 4 of 5

No. 3 BP handle accommodates size 10-15 surgical blades

Correct Answer: A

Rationale: The No. 3 handle fits blades 10, 11, 12, and 15.

Question 5 of 5

A previously stable postoperative client on the medical-surgical unit now has a blood pressure of 88/40 mm Hg and a heart rate of 124 beats/min. After placing the client in Trendelenburg position, which action does the nurse perform next?

Correct Answer: A

Rationale: A sudden drop in blood pressure and elevated heart rate indicate a critical deterioration requiring the RRT for immediate intervention, rather than delayed reassessment or premature Code Blue.

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