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CPNRE MOSBY 2 EXAM WITH COMPLETE SOLUTIONS 100% VERIFIED Case 2 Mrs. Gupta, age 55, has had a total hysterectomy. She has an intravenous drip of normal saline infusing at 100 mL/hr. Questions 7-12 refer to this case. 7. Mrs. Gupta has just returned from surgery. Her vital signs are blood pressure 88/60, pulse 74, respiratory rate 16, and oxygen saturation 95%. What is the first priority for the practical nurse after taking these vital signs? 1. Ask Mrs. Gupta how she is feeling and review the health record for baseline vital signs. 2. Call the doctor to report the vital signs. 3. Increase the intravenous rate to 125 mL/hr as Mrs. Gupta is probably dehydrated. 4. Position Mrs. Gupta in a modified Trendelenburg position. 1. Ask Mrs. Gupta how she is feeling and review the health record for baseline vital signs. RATIONALE 1. Mrs. Gupta may have a baseline blood pressure of 90/60. The practical nurse needs to check the health record for previous baseline vital signs. If Mrs. Gupta is feeling faint or lightheaded, she could be symptomatic from the hypotension and needs treatment. The other vital signs are all within the normal range. Case 2 Mrs. Gupta, age 55, has had a total hysterectomy. She has an intravenous drip of normal saline infusing at 100 mL/hr. Questions 7-12 refer to this case. 8. After surgery, Mrs. Gupta is started on a clear fluid diet until bowel sounds return.