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Increase in heart rate of 15 beats/min with walking. d. Petechiae on the inside of the mouth and conjunctiva. ANS: B. Decreased renal perfusion caused by inadequate cardiac output will lead to decreased urine. output. Petechiae, fever, chills, and diaphoresis are symptoms of IE but are not caused by. decreased cardiac output. When developing strategies to decrease health care disparities, the nurse working in a clinic located in a neighborhood with many Vietnamese individuals will include 2-2. improving public transportation. obtaining low-cost medications. educating staff about Vietnamese health beliefs. updating equipment and supplies for the clinic. costco catering tray View Lewis's Medical Sugrical Nursing 11th Edition Testbank.pdf from NURSING NURS 201 at West Coast University, Los Angeles. 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