The nurse is caring for a patient who has undergone major abdominal surgery 4 hrs post-op: urine output 45 mL/hr, BP 120/80 mmHg, HR 90 beats/min, Wt 97.5 kg 24 hrs post-op: urine output 20 mL/hr for past 2 hrs, BP 100/60 mmHg, HR 110 beats/min, Wt 99 kg According to the 4-hr post-op assessment and the 24-hr assessment data, the nurse should?

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Question 1 of 5

The nurse is caring for a patient who has undergone major abdominal surgery 4 hrs post-op: urine output 45 mL/hr, BP 120/80 mmHg, HR 90 beats/min, Wt 97.5 kg 24 hrs post-op: urine output 20 mL/hr for past 2 hrs, BP 100/60 mmHg, HR 110 beats/min, Wt 99 kg According to the 4-hr post-op assessment and the 24-hr assessment data, the nurse should?

Correct Answer: B

Rationale: Decreased urine output (20 mL/hr), dropping BP, and rising HR suggest hypovolemia, warranting a saline bolus (B).

Question 2 of 5

The nurse is concerned about administering opioid medication to a patient in pain because the patient is weaning from mechanical ventilation. The nurse consults with the clinical pharmacist, who suggests trying a/an:

Correct Answer: D

Rationale: IV NSAID (D) relieves pain without respiratory depression, safe during weaning.

Question 3 of 5

When flushing a feeding tube, the nurse knows to use how many mL of water?

Correct Answer: B

Rationale: 30 mL (B) is standard for flushing feeding tubes to maintain patency.

Question 4 of 5

Which of the following are locations where cholinergic receptors are found in the autonomic nervous system? Select ONE that does not apply.

Correct Answer: C

Rationale: Cholinergic receptors (acetylcholine) are at A (ganglia), B (somatic), and D (SNS sweat glands). Cardiac muscle has muscarinic receptors (PNS), but C is least specific as a 'does not apply' choice due to context. [Level: Comprehension]

Question 5 of 5

The cells within the nervous system that transmit action potentials are:

Correct Answer: D

Rationale: Neurons transmit action potentials. Axons/dendrites are parts, glial cells support. [Level: Knowledge]

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