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Identify the Assessment Found by a Nurse on a Client

Question 66

Multiple Choice

Identify the assessment found by a nurse on a client who is admitted with a possible accidental overdose of imipramine (Tofranil) that would require the most immediate intervention.


A) Depressed deep tendon reflexes and Glasgow Coma Scale of 11
B) Sinus tachycardia of 128 with a QRS complex of 0.14 second
C) Ecchymotic areas on arms and an HCT of 33%
D) Distended abdomen and decreased bowel sounds

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