Kaplan Medical Surgical Integrated Test 2023 Assignment 2
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?
a) Ask the client to tilt their head back when swallowing.
b)
c)Administer liquids to the client using a
syringe.
d) Allow the client to rest for 10 min prior to eating.
2. 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?
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. A nurse is preparing to perform a routine abdominal assessment for a client. Which of
the following actions should the nurse take?
Perform
auscultation.
palpitation after
Acquired
immunity
a) Document shiny, taut skin as an expected finding.
b)
c) Listen for1 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
b) Active immunity
c) Cellular immunit
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