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    Ati rn vati comprehensive predictor proctored exam

    The nurse is reviewing the female client's medical record. The nurse is planning care for the client. For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

    Explanation & Rationale

    • Administer regular insulin: The client’s glucose increased from 120 mg/dL to 195 mg/dL, which is a common stress response in infection. Short-acting insulin may be anticipated to manage hyperglycemia during acute illness. Controlled glucose levels help reduce infection complications and support healing in clients with type 2 diabetes. • Place client on 1,500 mL fluid restriction: The client shows signs of dehydration risk, including thirst, fever, and increased BUN at 25 mg/dL. With infection and fluid losses from fever, a restriction would worsen hydration status. The client is already receiving IV fluids to maintain volume and support perfusion, so limiting fluids would be harmful. • Increase supplemental oxygen to ≥95%: The client’s oxygen saturation is 89% on 2 L/min, which is below target and indicates worsening oxygenation. Increasing oxygen flow is appropriate to improve gas exchange in pneumonia and COPD exacerbation. Maintaining higher saturations prevents respiratory fatigue and tissue hypoxia. • Obtain sputum culture: The client has fever, productive cough with yellow sputum, and chest X-ray-confirmed pneumonia. A sputum culture helps identify the causative organism and guide antibiotic therapy. Culture results can optimize treatment effectiveness and prevent antibiotic resistance.

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