NCLEX-RN Quiz
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PHYSIOLOGICAL INTEGRITY
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A 73-year-old woman with type 2 diabetes is admitted with HHS after 4 days of poor intake and a respiratory infection. Vital signs: BP 90/54 mm Hg, HR 128/min, RR 22/min, T 38.2°C (100.8°F); glucose 1,040 mg/dL. Labs: serum osmolality 352 mOsm/kg (normal 275–295), pH 7.40 (normal 7.35–7.45), HCO3− 25 mEq/L (normal 22–26), serum ketones negative (normal negative). What is the nurse's PRIORITY intervention for this patient?
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