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1. client with dysphagia, which interventions in- have the client seat upright for 1 hr
clude in plan following meals
2. Assessing Infussion IV site, client reports pain, Disontinue Infussion
site is red, warmth.
What the nurse do
3. Routine abdominal assessment. action by the perform palpitation after ascultation
nurse
4. teachin new nurses about immunity. Include in The body produces antibodies in re-
the teaching sponse to an antigen with active im-
munity
5. Risk factors for oler adulrs that increase risk of Lowered immune system function
developing infections
6. Teaching Meter dose Inhaler. What instructions Inhale medication deeply for 3-5 sec-
teach onds
7. a nurse is performing a focused assessment on flaring of the nostrils
a client who has a history of COPD and is expe-
riencing dyspnea, which of the findings should
the nurse expect?
8. a nurse is teaching a client about the correct ensure the cane has a rubber cap
use of a cane, what should the nurse include? hold the can on the stronger side
(SATA) flex the elbow slightly when using the
cane
use a quad cane for increased sup-
port
9. a. decreased in elasticity
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, Capstone Fundamentals Assessment
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1. a nurse is teaching a group of assistive
personal about the expected integumentary
changes in older adults, which should the
nurse include:
10. 1. a nurse in a provider's office is assessing a a. the client has a history of recurring
client who reports a decrease in the effective- bowel inflammation
ness of their arthritis medication. which of the
following client information should the nurse
identify as a contributing factor to the decrease
in the medication's effectiveness?
11. 1. a nurse is monitoring a client who has been a. Nausea
receiving intermittent enteral feedings, what
should the nurse identify as an intolerance to
the feeding?
12. 1. a nurse is assisting a client who signed an in- The surgeon will answer your ques-
formed consent form for surgery but has since tions before surgery
expressed doubts about the need for surgery,
which of the following statements should the
nurse make?
13. A nurse is preparing to administer meperidine 0.7 mg
35mg IM to an adolescent who is preopera-
tive. Available in meperidine 50mg how much
should the nurse administer? (Round the to the
tenth
14. 1. a nurse is documenting client care, which of a. contacted the provider to report
the following entries should the nurse identi- client findings
fy as an example of implementation of client
care?
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