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The Nurse Is Caring for a Client Who Has Been

Question 20

Multiple Choice

The nurse is caring for a client who has been hospitalized for 2 days and is receiving normal saline IV at 100 mL/hour, has a nasogastric tube to low suction, and is NPO. Which of the following assessment findings by the nurse is the priority to reporttothehealth care provider?


A) Serum sodium level of 138 mmol/L
B) Gradually decreasing level of consciousness (LOC)
C) Oral temperature of 37.8°C (100°F) with bibasilar lung crackles
D) Weight gain of 1 kg above the admission weight

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