HESI MED SURG 1 FINAL TEST BANK EXAM 2024-2025 350 QUESTIONS AND CORRECT VERIFIED ANSWERS /100% PASS SOLUTION / ALREADY GRADED A+ The nurse performs a physical assessment on a client with type 2 diabetes mellitus. Findings include a fasting blood glucose level of 120 mg/dL (6.8 mmol/L), temperature of 101F (38.3C), pulse of 102 beats/minute, respirations of 22 breaths/minute, and blood pressure of 142/72 mm Hg. Which finding would be the priority concern to the nurse? a. Blood Pressure b. Pulse c. Respiration d. Temperature - ANSWER--d. Temperature A nurse cares for a patient who possibly has syndrome of inappropriate antidiuretic hormone (SIADH). The patient's serum sodium level is 114 mEq/L (114 mmol/L). What action would the nurse take first? Select one: a. Restrict the patient's fluid intake to 600 mL/day. b. Handle the patient gently by using turn sheets for repositioning. c. Consult with the dietitian about increased dietary sodium d. Instruct unlicensed assistive personnel to measure intake and output. - ANSWER--a. Restrict the patient's fluid intake to 600 mL/day. The nurse is performing a health screening on a 54-year-old client. The client has a blood pressure of 118/78 mm Hg, total cholesterol level of 190 mg/dL (4.9