Gramme

I vote for B as well, if the distractor C said tachycardia, then it would be a toss up between b and c, but just irregular pulse can be anything.

As to the C/S report, luckily, most of the time the micro dept. will not read the follow up culture until the microbiologist comes in at 0900 in the am. So,,, you probably won't need to be faced with this one. Unfortunately, most new grads get put on nights when they have to begin to make decisions about when to call the doc. When in doubt, call. You can always go through your charge nurse or supervisor when you need a second opinion. But remember, the doc can't make a decision about information he doesn't have, so if something goes wrong, you will be the one with the problem.

Try the South Dakota State University web site. They have an on line refresher for RN and LVN. You would only need to arrange for the preceptor hours after completion of the on line portion.