RN Exam
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First Name:
Last Name:
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1.
A patient is to receive Regular and NPH Insulin q a.m. They should be
administered in which of the following
manners?
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a.
Separate, the
two are incompatible. |
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b.
Together
drawing the NPH first. |
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c.
Together,
drawing the Regular first. |
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d.
Together, but
rotate sites. |
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2.
You are planning care for a patient with pneumonia that is to be
suctioned PRN. Which of the following
suctioning techniques most accurately
describes proper suctioning?
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a.
Apply suction, for no more than 10 seconds, as the catheter is
withdrawn. |
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b.
Apply suction, for no more than 20 seconds, as the catheter is
inserted. |
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c.
Apply suction each time the patient inhales. |
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d.
Apply suction for no more than 10 seconds, as the catheter is
both inserted and withdrawn. |
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3.
While taking patients’ history whom is scheduled for an
intravenous pyelogram you learn that the patient is
allergic to shellfish.
With this knowledge you should have which of the following drugs available.
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a.
Benadryl |
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b.
Dilantin |
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c.
Valium |
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d.
Dramamine |
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4.
Your patient asks you if he/she will feel any discomfort during
a myelogram. The most accurate response is:
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a.
“This is an
uncomfortable procedure, but you will receive general anesthesia so you will
not be aware of
the pain.”
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b.
“Yes this is
one of the most painful procedures that you can have.” |
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c.
“This is an
uncomfortable procedure, but you will be given medication before the test to
reduce the
discomfort.”
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d.
“No, this
procedure won’t hurt at all.” |
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5.
A patient undergoes transurethal prostatectomy
for benign prostatic hypertrophy under spinal anesthesia. What
adverse
reaction is most likely to occur in the recovery room? |
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a.
Hypotension |
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b.
Backache |
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c.
Headache |
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d.
Pneumothorax |
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6.
Digoxin 0.12 mg has been ordered for a pediatric patient. The bottle of
Digoxin contains .05 mg in 1 cc of
solution. You should administer what dosage.
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a.
2.5cc |
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b.
4.5cc |
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c.
2.4cc |
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d.
1.5cc |
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7.
A patient who has a history of Artherosclerotic Heart Disease is
hospitalized with a diagnosis of Atrial
Fibrillation. 5,000 units of Heparin
is ordered every 12 hours S.Q. and daily PTT is ordered to monitor the
patient’s therapy. The result of the most recent PTT is 5.5 so your course
of action should be.
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a.
Repeat the test. |
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b.
Document the result and administer the medication. |
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c.
Withhold the medication |
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d.
Notify the physician. |
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8.
Morphine Sulfate has been administered to a patient complaining
of severe pain. Which of the following would
indicate morphine toxicity?
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a.
Pupils are unequal. |
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b.
Pupils are dilated. |
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c.
Pinpoint pupils |
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d.
Blurred vision. |
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9.
To transfuse blood, when a unit of packed cells is ordered, the patient
has an intravenous infusion of Dextrose
5%H20 running, the following action should take place.
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a.
Remove the Dextrose infusion and replace it with packed cells. |
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b.
Connect the packed Cells to the Dextrose infusion. |
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c.
Start a separate infusion of Normal Saline and use a “Y”
connector to infuse blood. |
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d.
Start a
infusion of Lactated Ringers and use a “Y” connector to infuse blood. |
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10.
During preoperative teaching, you should explain to a patient who is
scheduled to have a transurethal
prostatectomy under spinal anesthesia that as a result
of the anesthesia he will:
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a.
Be unable to move his legs immediately after surgery. |
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b.
Require analgesics to relieve pain in his back. |
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c.
Be unable to move his arms immediately after surgery. |
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d.
Require a special machine to help him breath immediately after
surgery. |
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11.
A physician orders Codeine 60mg and Aspirin Grains 10 P.O. every four
hours as needed for pain for a patient
complaining of pain in his right leg.
If each Codeine tablet contains 15mg of Codeine and each aspirin tablet
contains 325 mg of Aspirin you should administer?
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a.
4 Codeine tablets and 3 Aspirin tablets. |
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b.
2 Codeine tablets and 4 Aspirin tablets. |
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c.
4 Codeine tablets and 2 Aspirin tablets. |
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d.
3 Codeine
tablets and 3 Aspirin tablets. |
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12.
Two days following surgery, a patient awakens
during the night frightened and agitated. The patient removes
his indwelling
urinary catheter, climbs out of bed and runs down the hall screaming. Your
course of action
should be which of the following.
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a.
Return the patient to bed and assess his condition. |
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b.
Replace the
catheter. |
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c.
Return the patient to the bed and restrain him. |
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d.
Call the physician and request a sedative for the patient. |
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13.
You should give highest priority to maintaining___________when caring
for a patient during the acute
phase of
CVA.
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a.
Respiratory status. |
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b.
Nutritional status. |
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c.
Musculoskeletal function. |
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d.
Skin integrity. |
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14.
You have been given orders for a patient who is being treated
for CHF to be given 0.25mg of Digoxin
PO
daily.
The patients’ heart rate is 98 and irregular. What action should you
take.
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a.
Do not administer the Digoxin until the patient’s pulse slows
down. |
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b.
Administer the Digoxin and chart the rhythm. |
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c.
Call the physician for clarification of the order. |
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d.
Do not
administer the Digoxin until the patient’s pulse increases. |
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15.
Chest compression and rescue breathing should be
performed at a ratio of__?___ when a patient is found
pulseless and
breathless. Two nurses have initiated Cardiopulmonary Resuscitation.
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a.
15:2 |
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b.
1:5 |
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c.
15:1 |
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d.
5:1 |
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16.
Which of the following medications would be most important to have
available if a patient is receiving Morphine
Sulfate postoperatively for pain?
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a.
Antabuse |
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b.
Narcan |
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c.
Methadone |
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d.
Adrenaline |
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17.
Based on the following lab results: Na 156, Cl 100, K+4.0, CO2 21, BUN
86, and glucose 100, you would
record what nursing diagnosis on the care plan?
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a.
Self-care deficit; feeding |
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b.
Fluid volume deficit |
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c.
Alternation in patterns of urinary elimination |
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d.
Nutritional deficit: less than body requirements. |
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18.
A patient has a thyroidectomy and is admitted to the recovery room.
What would be considered an abnormal
finding during your assessment of the
patient?
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a.
The patient makes noises when he/she breathes. |
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b.
The patient complains of thirst |
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c.
The patient is sleeply from anesthesia |
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d.
The patient complains of pain at the surgical site. |
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19.
Following the patients’ surgery, you have received physician
orders to administer Morphine Sulphate using a
PCA pump. As you teach the
patient about the pump, which of the following statements best describe the
method of pain control?
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a.
“You will be able to self-administer an unlimited amount of
pain-relief medication as you need it.” |
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b.
“You will be able to self-administer a pre-set dose of
pain-relief medication, as you need it by pressing
a button connected to the pump.”
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c.
“Every time you feel pain, tell the nurse: Pain relief
medication is based on the amount of pain you
are experiencing.”
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d.
You will receive a preset dose of pain-relief
medication continually from the pump.” |
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20.
A patient is to receive 3,000ml of D5W over 24 hours.
The infusion set has a drop factor of 10 drops per
milliliter. You
should regulate the IV to deliver how many drops per minute?
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a.
40 |
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b.
21 |
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c.
18 |
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d.
25 |
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21.
The IVset delivers 15 drops per ml and the patient is to receive 1,000
ml of an IV solution in an
8-hour period. You should regulate the rate so that it delivers how
many drops per minute. |
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a.
40 |
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b.
31 |
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c.
55 |
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d.
60 |
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22. A patient is returned to their room with a Jackson-Pratt
drain following an abdominal resection for colon cancer.
The purpose of the drain is to: |
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a.
Prevent bacterial infection of the incision. |
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b.
Irrigate the incision with a saline solution. |
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c.
Prevent accumulation of drainage in the wound. |
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d.
Measure the amount of fluid lost after surgery. |
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23.
A patient with a history of congestive heart failure is admitted to the
hospital with flu like symptoms. While
taking the patients history you learn that the patient has been taking Digoxin
0.125 mg
PO
daily For three
years and most recently their physician changed the prescription to 0.25 mg
PO
daily. In addition to the
Digoxin the physician has ordered Lasix 40 mg QD. You would expect the
physician order to require which of
the following tests?
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a.
White blood cells count, hemoglobin, and hematocrit. |
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b.
Serum electrolytes and digoxin level. |
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c.
Blood culture and urinalysis. |
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d.
Cardiac enzymes and arterial blood gasses. |
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24.
A patient has had a grand mal seizure. In order to maintain an open airway
following the seizure you should
place the patient in the following position.
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a.
Side-lying with his head hyperflexed. |
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b.
Semi-Fowler’s with his head to his side. |
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c.
Semi-Fowler’s with his chin touching his chest. |
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d.
Side-lying with his head extended. |
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25.
Before
performing mouth care on a patient with a deflated tracheostorny tube cuff you
should?
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a.
Call
the physician for an order |
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b.
Inflate the tracheostorny tube cuff. |
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c.
Partially inflate the tracheostorny tube cuff. |
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d.
Leave the tracheostorny tube cuff deflated. |
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26.
You are caring for a patient in the Telemetry unit. The doctor’s order for
this patient includes the following:
cardiac monitoring, low salt diet, and Procardia 10 mg P.O. TID. Your patient
asks how this medication works.
Your response should be based on the knowledge that Procardia:
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a.
Promotes coronary artery spasms. |
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b.
Constricts the coronary arteries. |
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c.
Increases the myocardial contractility. |
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d.
Decreases myocardial oxygen demand. |
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27.
Your patient is being maintained on a ventilator and suddenly becomes
distressed and agitated. Your first
course of action should be to:
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a.
Assess the patient and functioning of the Ventilator. |
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b.
Restrain the patient. |
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c.
Obtain an order for a tranquilizer. |
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d.
Check the arterial blood gas results. |
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28.
A patient being treated for a pneumothorax has two chest tubes connected to a
Pleur-evac drainage system
by a “Y” connector. What action should you take before ambulating the
patient?
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a.
Clamp the lower tube and leave the upper tube unclamped. |
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b.
Clamp both the upper
and lower chest tubes. |
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c.
Leave both tubes unclamped. |
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d.
Clamp the upper chest tube and leave the lower chest tube unclamped. |
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29.
When a patient is being treated for myocardial infraction and is receiving an
anticoagulant you should
assess for?
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a.
Areas of ecchymosis and petechiae. |
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b.
Edema and weight gain. |
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c.
Varicose veins. |
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d.
Pallor or cyanosis. |
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30.
A patient is receiving 10 units of NPH Insulin every morning at 8:00 am. At
4:00pm you notice the patient is
diaphoretic and slightly confused. Your first course of action is to?
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a.
Give them 6oz of skim milk. |
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b.
Check vital signs. |
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c.
Check urine for glucose and ketones. |
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d.
Call the Physician.
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