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studentstudent studentstudent
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A month ago
A nurse is providing care to a client receiving intensive insulin therapy (IIT). What is the priority nursing assessment?
1. Monitor IV site for infiltration.
2. Monitor availability of IV solution to reduce therapy interruption.
3. Monitor for hypoglycemia.
4. Monitor for decrease in urine output.
Textbook 

High-Acuity Nursing


Edition: 6th
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studymitestudymite
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A month ago
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More questions for this book are available here
The answer is 3
Rationale:
1. Monitoring for IV site infiltration is essential, but not the highest priority.
2. The nurse should monitor the availability of IV solution so that therapy is not interrupted by waiting for supplies to arrive from pharmacy. This is important, but not the priority in this situation.
3. IIT places the client at high risk of hypoglycemia, and monitoring for it is the priority assessment.
4. Urine output should normalize as serum glucose normalizes. This is not the priority assessment.
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