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The ICU Nurse Is Required to Closely Monitor Four Clients

Question 3

Multiple Choice

The ICU nurse is required to closely monitor four clients diagnosed with shock. During the shift assessment, the nurse documents the following values for the clients. Which client is most stable?


A) Client A: Heart rate 70 beats per minute, systolic blood pressure (BP) 100 mm Hg, urine output 30 mL/hour
B) Client B: Capillary refill time between 7 and 10 seconds, urine output 35 mL/hour
C) Client C: Heart rate 115 beats per minute, systolic BP 129 mm Hg, urine output 60 mL/hour
D) Client D: Capillary refill time between 5 and 6 seconds, urine output 30 mL/hour

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