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    Ati Nur 213 Lifespan 2 Proctored Exam(Fundamental Exam)

    The nurse is caring for a patient with diabetes. Exhibits For each assessment finding, click to specify if the finding indicates that the client's condition has improved, has not changed, or has declined. Only choose one option for each assessment finding. Each option will be used at least once.

    Explanation & Rationale

    Assessment Finding Improved No Change Declined Blood pressure ✓ Respirations ✓ Hyperglycemia ✓ Temperature ✓ Heart Rate ✓ Rationale: Blood pressure: Blood pressure increased from 90/58 mmHg at 2000 to 112/60 mmHg at 2100, reflecting hemodynamic stabilization likely due to fluid resuscitation and correction of hypoglycemia. This improvement indicates better cardiovascular status. Respirations: Respiratory rate decreased from 26 breaths/min at 2000 to 20 breaths/min at 2100, with respiration described as even and unlabored. This suggests resolution of metabolic acidosis and respiratory compensation. Hyperglycemia: Capillary blood glucose decreased from 420 mg/dL on admission to 120 mg/dL at 2100. This indicates effective glycemic control after insulin therapy and glucose administration. Temperature: Temperature increased from 98.0°F at 2000 to 100.2°F at 2100, indicating development of fever. This suggests possible infection or inflammatory process is ongoing or worsening. Heart Rate: No Heart rate remained elevated (118 bpm at 2000 and 120 bpm at 2100) with minimal variation, suggesting persistent sympathetic stimulation or stress response without significant improvement.

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