题目内容

A client with a serum glucose level of 618mg/dL is admitted to the facility. He’s awake and oriented, has hot dry skin, and has the following vital signs, temperature of 100. 6°F (38.1℃), heart rate of 116 beats/minute, and blood pressure of 108/70mmHg. Based on these assessment findings, which nursing diagnosis takes highest priority

A. Deficient fluid volume related to osmotic diuresis.
B. Decreased cardiac output related to elevated heart rate.
C. Imbalanced nutrition. Less than body requirements related to insulin deficiency.
D. Ineffective thermoregulation related to dehydration.

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Which of the following would the nurse expect to assess as presumptive signs of pregnancy

Amenorrhea and quickening.
B. A positive pregnancy test and a fetal outline.
C. Braxton Hicks contractions and Hegar’s sign.
D. Uterine enlargement and Chadwick’s sign.

The nurse is caring for a client with mild active bleeding from placenta previ

A. a. Which of the following observations indicates that an emergency cesarean section may be necessaryA. Increased maternal blood pressure of 150/90 mmHg.B. Decreased amount of vaginal bleeding.C. Fetal heart rate of 80 beats per minute.D. Maternal heart rate of 65 beats per minut

Which of the following indications is the primary use for electroconvulsive therapy (ECT)

A. Severe agitation.
B. Antisocial behavior.
C. Noncompliance with treatment.
D. Major depression with psychotic features.

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