The Nurse Assesses a Patient Who Has Been Hospitalized for 2

Multiple Choice

The nurse assesses a patient who has been hospitalized for 2 days. The patient has been receiving normal saline IV at 100 mL/hr,has a nasogastric tube to low suction,and is NPO. Which assessment finding would be a priority for the nurse to report to the health care provider?

A) Oral temperature of 100.1°F
B) Serum sodium level of 138 mEq/L (138 mmol/L)
C) Gradually decreasing level of consciousness (LOC)
D) Weight gain of 2 pounds (1 kg) over the admission weight