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