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    RN HESI Paediatrics Proctored Exam 2
    Select All That Apply

    Exhibits Two days later, the nurse completes an assessment of the client. Which assessment findings indicate that the client has stabilized? Select all that apply.

    Explanation & Rationale

    A. An electrocardiogram with a tall T wave and widened QRS complex may indicate electrolyte imbalances or cardiac issues, which are not indicative of stabilization. C. Basilar crackles can be a sign of pulmonary or cardiac issues and are not indicative of stabilization. D. A urine output of 20 mL in the last hour may suggest reduced kidney function or hydration status and is not indicative of stabilization. E. A respiratory rate of 26 breaths/minute may indicate respiratory distress and is not indicative of stabilization. The assessment findings that suggest stabilization include: A blood pressure within the normal range (126/76 mm Hg). A heart rate within the normal range (72 beats/minute). Oxygen saturation of 98% on room air, indicating adequate oxygenation. A normal body temperature (98.9°F or 37.1°C orally). These vital signs and clinical parameters are within normal ranges, suggesting that the client's condition is stable at this time.

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