EX=T :ES= Comprehensive B Evolve Practice Questions And Answers 100 Questions Updated Version 2023 Terms in this set (100) The nurse is caring for a clientB with a cerebrovascularRationale: accident (CVA) who isPositioning the head of the bed flat when enteral receiving enteral tubefeedings are in progress puts the client at risk for feedings. Which taskaspiration (B). The others are all acceptable tasks performed by the UAP requiresperformed by the UAP (A, C, and D). immediate intervention by the nurse? A.Suctions oral secretions from mouth B.Positions head of bed flat when changing sheets C.Takes temperature using the axillary method D.Keeps head of bed elevated at 30 degrees EX=T :ES= Comprehensive B Evolve Practice QuestionsWhen caring for a postsurgicalB client who has undergoneRationale: multiple blood transfusions,Multiple blood transfusions are a risk factor for which serum laboratory findinghyperkalemia. A serum potassium level higher than is of most concern to the5.0 mEq/L indicates hyperkalemia (B). The others are nurse? normal findings (A, C, and D). A.Sodium level, 137 mEq/L B.Potassium level, 5.5 mEq/L C.Blood urea nitrogen (BUN) level, 18 mg/dL D.Calcium level, 10 mEq/L A Which vaccination should theRationale: nurse administer to a newborn? The hepatitis B vaccination should be given to all