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This is a sign of fever, which is a common symptom of sepsis, but not as urgent as hypotension.

This is a sign of tachycardia, which is a compensatory mechanism to maintain cardiac output in sepsis, but not as urgent as hypotension.

This is within the normal range for adults and does not indicate respiratory distress.

This is an example of subjective data, which are information that only the client can perceive and describe, such as feelings, sensations, and beliefs.

This is also an example of subjective data, as it is based on the client's verbal report.

This is another example of subjective data, as pain is a personal experience that cannot be directly measured by the nurse.

His is a normal finding that does not indicate malignancy.

This is likely a benign vascular lesion, such as a cherry angioma or petechiae.

This is likely a benign sebaceous lesion, such as a sebaceous cyst or milia.

This is a borderline value that may indicate prediabetes, but not necessarily poor glycemic control. A fasting blood glucose of 126 mg/dL or higher on two separate occasions is diagnostic of diabetes.

This is an elevated value that may indicate hyperglycemia, but not necessarily poor glycemic control. A random blood glucose of 200 mg/dL or higher with symptoms of diabetes is diagnostic of diabetes.

This is a normal finding that indicates the absence of ketones in the urine. Ketones are produced when the body breaks down fat for energy due to insufficient insulin. The presence of ketones in the urine indicates diabetic ketoacidosis, a life-threatening complication of diabetes.

This question can help to assess the client's orientation to person, but not to location or time.

This question can help to assess the client's orientation to place, but not to person or time.

This question can help to assess the client's suicidal or homicidal ideation, but not their orientation.

This action is not related to preventing an allergic reaction, but rather to preventing contamination or injury from glass particles that may be present in some vials.

This action is not related to preventing an allergic reaction, but rather to preventing infection by reducing the number of microorganisms on the skin.

This action is not related to preventing an allergic reaction, but rather to preventing leakage or irritation of the medication into the subcutaneous tissue by creating a zigzag path with the needle.