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When assessing Glasgow Coma Scale, what are the components? (Select all that apply)

Physician’s order:  900 mL of D5W to infuse over 11 hours. You will set the pump for ____ mL/hr.

What does PERRLA stand for

The nurse is completing a fall risk assessment on a patient. Which of the following findings would indicate that the patient is a fall risk? Select all that apply.

A patient is admitted to the hospital with severe dyspnea and wheezing.  Arterial blood gas levels on admission are pH: 7.26; PaCO2: 55; HCO3: 24. You interpret these laboratory values to indicate:

The physician on call pages you to ask if the patient you are taking care of is afebrile. Which of the following vital signs would you find in an afebrile patient?

Order:  gentamycin 30 mg IVPB in 40 ml D5W to infuse over 30 minutes. Stock:  Vial of gentamycin 40 mg/mL How many mL of gentamycin will you add to the IVPB solution? Round to the nearest tenth.

When recording the patient’s respiratory status, what must be recorded? (Select all that apply.)

Stage this pressure ulcer:

Which of the following electrolytes are out of the normal range? (select all that apply)