ATI Capstone test bank
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?
• Ask the client to tilt their he
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ATI Capstone test bank
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?
• Ask the client to tilt their head back when swallowing.
• Have the client sit upright for 1 hr. following meals.
• Administer liquids to the client using a syringe.
• Allow the client to rest for 10 min prior to eating.
• 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?
• Initiate a new IV line below the original insertion site.
• Discontinue the infusion
• Raise the head of the bed
• Obtain a culture from the area of the insertion site.
• A nurse is preparing to perform a routine abdominal assessment for a client. Which of the following actions should the nurse take?
• Document shiny, taut skin as an expected finding.
• Perform palpitation after auscultation.
• Listen for 1 min before documenting absent bowel sounds
• Perform auscultation immediately after the client has consumed a meal.
• 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?
• Passive immunity
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