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capstone med surg assessment 1 all answers correct latest spring 2021
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capstone med surg assessment 1 all answers correct
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1. A nurse is updating a plan of care after an evaluation of a client who has dysphagia.
Which of the following interventions should the nurse include in the plan?
a) Ask the client to tilt their head back when swallowing.
b) Have the client sit upright for 1 hr. following meals.
c) Administer liquids to the client using a syringe.
d) Allow the client to rest for 10 min prior to eating.
2. A nurse is assessing the IV infusion site of a client who report pain at the site. The site
is red and there is warmth along the course of the vein. Which of the following
actions should the nurse take?
a) Initiate a new IV line below the original insertion site.
b) Discontinue the infusion
c) Raise the head of the bed
d) Obtain a culture from the area of the insertion site.
3. A nurse is preparing to perform a routine abdominal assessment for a client. Which of
the following actions should the nurse take?
a) Document shiny, taut skin as an expected finding.
b) Perform palpitation after auscultation.
c) Listen for 1 min before documenting absent bowel sounds
d) Perform auscultation immediately after the client has consumed a meal.
4. A nurse is discussing immunity with a client who has received an immunization.
The nurse should identify that an immunization functions as a part of the which of
the following types of immunity?
a) Passive immunity
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b) Active immunity
c) Cellular immunity
d) Acquired immunity
5. A nurse is reviewing the medical records of a group of older adult clients. The nurse
should identify that which of the following is a risk factor that places older clients at an
increased risk for developing infections?
a) Overproduction of lymphocytes
b) Elevated albumin levels
c) Lowered immune system function
d) Increased body fat
6. A nurse is teaching a client who has asthma the use of a metered dose inhaler. Which
of the following instructions should the nurse include in the teaching?
a) Hold your breath for 6 seconds after inhaling the medication.
b) Inhale the medication deeply for 5 seconds.
c) Do not shake the medication in the inhaler
d) Hold the inhaler 3 inches away from your mouth.
7. A nurse is performing a focused assessment on a client who has a history of COPD and
is experiencing dyspnea. Which of the following findings should the nurse expect?
a) Pulse oximetry reading of 95 %
b) Decreased depth of respirations
c) Flaring of the nostrils
d) Respiratory rate of 16/min
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