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Capstone Fundamentals Assessment
client with dysphagia, which interventions include in plan
have the client seat upright for 1 hr following meals
Assessing Infussion IV site, client reports pain, site is red, warmth.
What the nurse do
Disontinue Infussion
Routine abdominal assessment. action by the nurse
perform palpitation after ascultation
teachin new nurses about immunity. Include in the teaching
The body produces antibodies in response to an antigen with active immunity
Risk factors for oler adulrs that increase risk of developing infections
Lowered immune system function
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Teaching Meter dose Inhaler. What instructions teach
Inhale medication deeply for 3-5 seconds
a nurse is performing a focused assessment on a client who has a history of COPD and is
experiencing dyspnea, which of the findings should the nurse expect?
flaring of the nostrils
a nurse is teaching a client about the correct use of a cane, what should the nurse include?
(SATA)
ensure the cane has a rubber cap
hold the can on the stronger side
flex the elbow slightly when using the cane
use a quad cane for increased support
1. a nurse is teaching a group of assistive personal about the expected integumentary changes
in older adults, which should the nurse include:
a. decreased in elasticity
1. a nurse in a provider's office is assessing a client who reports a decrease in the effectiveness
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?
a. the client has a history of recurring bowel inflammation
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