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A Nurse Is Caring for a Client in the Intensive

Question 12

Multiple Choice

A nurse is caring for a client in the Intensive Care Unit (ICU) who is on mechanical ventilation and has a tube feeding. What assessment by the nurse indicates a priority goal for this client has been met?


A) Weight gain of 1 pound in a week
B) Increase in albumin and pre-albumin
C) Lung sounds clear bilaterally
D) Head of bed remains elevated at 30 degrees

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