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?
a) Document shiny, taut skin as an expected finding.
b)
c) Listen for 1 min before documenting absent bowel
sounds
d) Perform auscultation immediately after the client has consumed a meal.
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