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A Patient Who Has Been Hospitalized for 2 Days Has

Question 24

Multiple Choice

A patient who has been hospitalized for 2 days has been receiving normal saline IV at 100 ml/hr, has a nasogastric tube to low suction, and is NPO. Which assessment finding by the nurse is the priority to report to the health care provider?


A) Serum sodium level of 138 mEq/L ( 138 mmol/L )
B) Gradually decreasing level of consciousness ( LOC )
C) Oral temperature of 100.1° F with bibasilar lung crackles
D) Weight gain of 2 pounds ( 1 kg ) above the admission weight

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