Capstone Medical-Surgical Assessment – Comprehensive Exam Prep, Exams of Nursing

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Capstone Medical-Surgical Assessment — Comprehensive Exam Prep 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? 4) Ask the cleat ott heir head back when swallowing b) Have the client sit upright for 1 br. following meals. c) Administer liquids to the client using a syringe. d) Allow the client to rest for 10 min prior to eating. 2. Anurse is ass ssing 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. Anurse is preparing to perform a routine abdominal assessment for a client. Which of the following actions should the nurse take? #), Docu hi taut skin as anlexpeted 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