Exam 1 Book Questions

A client had an open partial colectomy and colostomy placement 6 hours ago. Which assessment would concern the nurse? A. Purple, moist stoma B. Stoma edema C. Liquid stool collecting in the drainage bag D. Serosanguineous fluid draining from the drain(s)

A. Purple, moist stoma

A nurse conducts an assessment of an older adult's medications, including both prescription and over-the-counter drugs. Which drug would the nurse identify as being potentially inappropriate for older adults? A. Vitamin D B. Losartan C. Nortriptyline D. Hydrochlorothiazide (HCTZ)

C. Nortriptyline

The nurse is assessing an older adult and notes that the client is at risk for constipation. Which statements will the nurse include in health teaching for this client to promote optimum bowel elimination? Select all that apply. A. "Be sure to include plenty of fresh fruits and vegetables in your diet each day." B. "Eat lots of high fiber foods, including whole grains each day." C. "Be sure to take a laxative every day to clean out your bowels and prevent toxins." D. "Exercise several times a week to keep our bowels working for regular elimination." E. "Drink at least 3 caffeinated beverages every day to keep your bowels stimulated." F. "Drink plenty of fluids, including water, to prevent having difficulty going to the bathroom."

A. "Be sure to include plenty of fresh fruits and vegetables in your diet each day." B. "Eat lots of high fiber foods, including whole grains each day." D. "Exercise several times a week to keep our bowels working for regular elimination." F. "Drink plenty of fluids, including water, to prevent having difficulty going to the bathroom."

A client with obesity tells the nurse, "My genes are the only thing that have made me obese." What is the appropriate nursing response? Select all that apply. A. "Genes can contribute to obesity." B. "Tell me about your family history." C. "Let's talk about your nutrition intake." D. "Have you considered bariatric surgery?" E. "How do you feel about physical activity?" F. "What lifestyle modifications have you tried?"

A. "Genes can contribute to obesity." B. "Tell me about your family history." C. "Let's talk about your nutrition intake." E. "How do you feel about physical activity?" F. "What lifestyle modifications have you tried?"

Which statements by assistive personnel indicate understanding regarding infection control measures needed to care for a client who has possible Clostridium difficile infection? Select all that apply. A. "I'll wear an isolation gown when providing direct care." B. "I'll wear gloves when providing direct care." C. "I'll wear a mask each time I enter the client's room." D. "I'll use a hand sanitizer when I can't wash my hands." E. "I'll wear goggles to protect my eyes."

A. "I'll wear an isolation gown when providing direct care." B. "I'll wear gloves when providing direct care." D. "I'll use a hand sanitizer when I can't wash my hands."

What discharge teaching will the nurse provide to a client who had gastric bypass surgery? Select all that apply. A. Be certain to stay hydrated by drinking water. B. Solid food can be introduced back into the diet in a week. C. Report any back, shoulder, or abdominal pain to the surgeon. D. You are likely to have little urine output for the first few weeks. E. Each of your meals should initially contain about 5 tablespoons of food.

A. Be certain to stay hydrated by drinking water. C. Report any back, shoulder, or abdominal pain to the surgeon. E. Each of your meals should initially contain about 5 tablespoons of food.

A nurse assures a client experiencing abdominal surgical pain that comfort measures, including drug therapy, will be provided as the client needs them. Which ethical principles apply in the situation? Select all that apply. A. Beneficence B. Social justice C. Autonomy D. Fidelity E. Veracity

A. Beneficence D. Fidelity E. Veracity

Which clinical indicators are most relevant for the nurse to monitor during IV fluid replacement for a client with dehydration? Select all that apply. A. Blood pressure B. Deep tendon reflexes C. Hand-grip strength D. Pulse rate and quality E. Skin turgor F. Urine output

A. Blood pressure D. Pulse rate and quality F. Urine output

Which electrolytes are most detrimentally affected by low magnesium levels? Select all that apply. A. Calcium B. Chloride C. Hydrogen D. Potassium E. Sodium F. Sulfate

A. Calcium D. Potassium

How does the corresponding increase in carbon dioxide levels that occurs when arterial pH drops assist in maintaining acid-base balance? A. Carbon dioxide loss through exhalation can raise arterial pH levels. B. Carbon dioxide retention during exhalation can lower arterial pH levels. C. Carbon dioxide is a base that can convert free hydrogen ions into a neutral substance. D. Carbon dioxide is a buffer that can bind free hydrogen ions and form a neutral substance.

A. Carbon dioxide loss through exhalation can raise arterial pH levels.

The nurse is teaching a client about nutrition and diverticulosis. Which food will the nurse teach the client to avoid? A. Cucumber B. Beans C. Carrot D. Radish

A. Cucumber

Which of the following factors does the nurse recognize as being a risk for altered sensory perception in the older adult client? A. Diabetes mellitus B. Hypotension C. Osteoarthritis D. Peptic ulcer disease

A. Diabetes mellitus

The nurse takes a history for a client admitted to the hospital. Which factors in the nursing history indicate that the client is at risk for infection? Select all that apply. A. Diabetes mellitus type 2 for 20 years B. 52-pack year history of cigarette smoking C. Admitted from a long-term care facility D. Has a history of multiple urinary tract infections E. Is 84 years of age

A. Diabetes mellitus type 2 for 20 years B. 52-pack year history of cigarette smoking C. Admitted from a long-term care facility D. Has a history of multiple urinary tract infections E. Is 84 years of age

A client who was bitten by a spider develops cellulitis of the left lower arm. What assessment findings will the nurse expect when caring for this client? Select all that apply. A. Fever B. Pain C. Redness around the spider bite D. Warmth in the affected arm E. Swelling of the affected arm

A. Fever B. Pain C. Redness around the spider bite D. Warmth in the affected arm E. Swelling of the affected arm

Which assessment findings indicate to the nurse that a client taking warfarin may have decreased clotting ? Select all that apply. A. Frequent nosebleeds B. Lower leg swelling C. Upper extremity bruising D. Difficulty breathing E. Intermittent chest pain F. Dark stools

A. Frequent nosebleeds C. Upper extremity bruising F. Dark stools

The nurse performs an initial health assessment of an older adult. Which assessment findings indicate that the client may be at risk for falls? Select all that apply. A. Has presbyopia B. Has peripheral neuropathy C. Uses a cane D. Takes multiple medications E. Has bilateral cataracts F. Has thin papery skin

A. Has presbyopia B. Has peripheral neuropathy C. Uses a cane D. Takes multiple medications E. Has bilateral cataracts

The nurse is talking with a group of older clients about colorectal cancer (CRC) risk factors. Which of the following factors are considered to be common CRC risk factors? Select all that apply. A. High-fat diet B. Crohn's disease C. Smoking D. Alcoholism E. Family history of cancer F. Obesity

A. High-fat diet B. Crohn's disease C. Smoking D. Alcoholism E. Family history of cancer F. Obesity

The nurse is caring for an older adult client who experiences an exacerbation of ulcerative colitis with severe diarrhea and rectal bleeding that have lasted a week. For which complication(s) will the nurse assess? Select all that apply. A. Increased BUN B. Hypokalemia C. Leukocytosis D. Anemia E. Hyponatremia

A. Increased BUN B. Hypokalemia C. Leukocytosis D. Anemia E. Hyponatremia

The nurse is caring for a client with a complete large bowel obstruction. What assessment findings would the nurse expect? Select all that apply. A. Obstipation B. Dehydration C. Metabolic alkalosis D. Abdominal distention E. Abdominal pain F. Profuse vomiting

A. Obstipation D. Abdominal distention E. Abdominal pain

What responses does the nurse expect as a result of infusing 500 mL liter of a 3% saline intravenous solution into a client over a 1-hour time period? A. Plasma volume osmolarity increases; blood pressure increases B. Plasma volume osmolarity decreases; blood pressure increases C. Plasma volume osmolarity increases; blood pressure decreases D. Plasma volume osmolarity decreases; blood pressure decreases

A. Plasma volume osmolarity increases; blood pressure increases

The nurse collaborates with the registered dietitian nutritionist to improve the nutritional status of clients on a hospital unit. Which priority professional nursing concepts apply in this situation? Select all that apply. A. Quality Improvement B. Ethics C. Health Care Disparities D. Systems Thinking E. Teamwork and Collaboration

A. Quality Improvement D. Systems Thinking E. Teamwork and Collaboration

The nurse provides an SBAR hand-off communication regarding a client whose blood pressure and respiratory rate have decreased. Where will the nurse include these data as part of the SBAR format? A. Situation B. Background C. Assessment D. Recommendation

A. Situation

Total enteral nutrition (TEN) has been prescribed for a client with terminal cancer. When the nurse notes that no advanced directives are in place, yet a durable power of attorney exists, what is the appropriate action? A. Withhold TEN indefinitely B. Contact the durable power of attorney C. Begin administration of TEN immediately D. Turn over care to the interprofessional ethics committee

B. Contact the durable power of attorney

Which assessment data is most relevant for the nurse to obtain from a client who has a serum potassium level of 2.9 mEq/L? A. Asking about the use of sugar substitutes B. Determining what drugs are taken daily C. Measuring the client's response to Chvostek testing D. Asking about a history of kidney disease

B. Determining what drugs are taken daily

An older adult's furosemide dosage was increased 2 days ago to 40 mg daily. This morning the nurse observes that the client has become confused and very weak. What is the nurse's best action? A. Encourage fluid intake. B. Withhold this morning's dose of furosemide. C. Review the most recent serum electrolyte levels. D. Place the patient on strict intake and output.

B. Withhold this morning's dose of furosemide.

A client has a new diagnosis of irritable bowel syndrome (IBS) with diarrhea. What health teaching by the nurse is appropriate for this client? A. "Take a stool softener every day to ease defecation." B. "Avoid high-fiber foods in your diet." C. "Avoid dairy products and caffeinated beverages." D. "Ask your primary health care provider for an antidepressant."

C. "Avoid dairy products and caffeinated beverages."

A nurse provides discharge teaching for a male client who had a minimally invasive hernia repair this morning. Which statement by the client indicates a need for further teaching? A. "I should avoid coughing if at all possible." B. "I can shower in a day or two after I remove my surgical bandage." C. "I can't go back to work for at least 6 weeks." D. "I should use an ice pack to help relieve my pain."

C. "I can't go back to work for at least 6 weeks."

The nurse is participating in a unit meeting to discuss daily nursing care expectations. Which nursing statement reflects systems level thinking? A. "It is important to provide care consistent with the client's expectation." B. "I will always consider my client's cultural preferences when delivering care." C. "I have been comparing our rates of infection with other units in the hospital." D. "I will look for the policy about family visitation to show my client."

C. "I have been comparing our rates of infection with other units in the hospital."

Which client statement regarding treatment of a skin infection requires intervention by the nurse? A. "I am not going to share my clothes with anyone else." B. "Because I am over 60, I am going to get the shingles vaccine." C. "It is important to keep my skin very moist, so I will use lotion." D. "If I get a fever or chills, I will contact my primary health care provider."

C. "It is important to keep my skin very moist, so I will use lotion."

The handgrasp strength of a client with metabolic acidosis has diminished since the previous assessment 1 hour ago. What is the nurse's best first action? A. Measure the client's pulse and blood pressure B. Apply humidified oxygen by nasal cannula C. Assess the client's oxygen saturation D. Notify the Rapid Response Team

C. Assess the client's oxygen saturation

A client with severe diarrhea reports tingling lips and foot cramps. What is the nurse's best first action to prevent harm? A. Hold the next dose of the prescribed antidiarrheal drug B. Assess bowel sounds in all four abdominal quadrants C. Assess the client's response to the Chvostek test D. Increase the IV flow rate of the normal saline infusion

C. Assess the client's response to the Chvostek test

With which clients does the nurse remain alert for the possibility of metabolic alkalosis? Select all that apply. A. Client who has been NPO for 36 hours without fluid replacement B. Client receiving a rapid infusion of normal saline C. Client who has been self-managing indigestion with chronic ingestion of bicarbonate D. Client who has had continuous gastric suction for 48 hours E. Client having a sudden and severe asthma attack F. Client with uncontrolled diabetes mellitus

C. Client who has been self-managing indigestion with chronic ingestion of bicarbonate D. Client who has had continuous gastric suction for 48 hours

Which normal physiologic process contributes most to the need for acid-base balance? A. Continuous organ production of bicarbonate from carbonic acid B. Continuous alveolar exchange of oxygen and carbon dioxide C. Continuous metabolic production of free hydrogen ions D. Continuous kidney formation of urine from blood

C. Continuous metabolic production of free hydrogen ions

A client had a colectomy with creation of an ileo-anal pouch and temporary ileostomy yesterday morning. The nurse assesses the ostomy and its functioning. Which assessment finding will the nurse report to the primary health care provider? A. Client's report of abdominal pain of 3 on a 0 to 10 pain intensity scale B. Slight abdominal distention C. No drainage from the ileostomy D. Serosanguinous effluent from the drain

C. No drainage from the ileostomy

A client with a large, irregularly shaped mole on the upper chest expresses concern about the cosmetic appearance of the lesion. What is the priority nursing intervention? A. Refer to a dermatologic health care provider. B. Ask if there are any other lesions that are bothersome. C. Perform a head-to-toe skin assessment and document the findings. D. Teach about the importance of avoiding excessive sun exposure and tanning beds.

C. Perform a head-to-toe skin assessment and document the findings.

The white blood cell count with differential of a client undergoing preadmission testing before surgery indicates a total count of 5000 cells per cubic millimeter (mm3) of blood. Which of the follow differential counts or percentages does the nurse report to the surgeon to prevent harm? A. Eosinophils 300/mm3 B. Monocytes 600/mm3 C. Segmented neutrophils 2000/mm3 D. Lymphocytes 2100/mm3

C. Segmented neutrophils 2000/mm3

A client shows the nurse two pictures of the same lesion, taken 1 month apart. Which assessment finding requires nursing intervention? A. The light pink color of the lesion is the same in both photographs. B. The lesion has almost disappeared by the time of the second photograph. C. The lesion borders have expanded and are shaped differently in the second picture. D. The lesion's well-approximated margins and size look no different in either photograph.

C. The lesion borders have expanded and are shaped differently in the second picture.

When teaching a community group about burn prevention, which education will the nurse include? A. "Have a smoke detector in one central spot in the home." B. "If you use home oxygen, turn it down when you are smoking." C. "Set your water heater temperature below 160°F (71°C.)." D. "Plan several ways of escape from the home in case the primary exit is blocked."

D. "Plan several ways of escape from the home in case the primary exit is blocked."

What teaching will the nurse provide when educating about carbon monoxide prevention? A. "Carbon monoxide is only dangerous if accompanied by fire." B. "Black smoke can be seen when carbon monoxide is in the air." C. "Your skin will turn a blue color if you have carbon monoxide poisoning." D. "Put carbon monoxide detectors in your home, because this is an odorless gas."

D. "Put carbon monoxide detectors in your home, because this is an odorless gas."

With which client does the nurse remain alert for and assess most frequently for signs and symptoms of hypokalemia to prevent harm? A. 72-year-old taking the diuretic spironolactone for control of hypertension B. 62-year-old receiving an IV solution of Ringer's lactate at a rate of 200 mL/hr C. 42-year-old trauma victim receiving a third infusion of packed red blood cells in 12 hours D. 22-year-old receiving an IV infusion of regular insulin to manage an episode of ketoacidosis

D. 22-year-old receiving an IV infusion of regular insulin to manage an episode of ketoacidosis

Which change would the nurse expect to see in the white blood cell differential of a client who has a prolonged, severe intestinal helminth infestation? A. Band neutrophils outnumber segmented neutrophils. B. Macrophage count is low. C. Monocyte count is high. D. Eosinophil count is high.

D. Eosinophil count is high.

Which nursing action reflects implementation of systems level thinking? A. Conducting a skin assessment on a newly admitted client B. Documenting a pressure injury in the electronic health record C. Notifying the health care provider of a 2″ × 1″ pressure injury on the coccyx D. Participating in a quality improvement project about eliminating pressure injury occurrences

D. Participating in a quality improvement project about eliminating pressure injury occurrences

The nurse is conducting an assessment of an older adult living in the community. Which assessment findings are considered usual physiologic changes of aging? Select all that apply. A. Dementia B. Relocation stress C. Urinary incontinence D. Presbyopia E. Obesity

D. Presbyopia

Which condition or manifestation in the client with a serum sodium level of 149 mEq/L indicates to the nurse that this electrolyte imbalance may be caused by excessive fluid loss? A. The client has calf muscle cramping. B. The serum chloride level is low. C. The urine specific gravity is high. D. The hematocrit is 52%.

D. The hematocrit is 52%.

How will the experienced nurse explain systems thinking to a new nurse? A. Reading a journal article to enhance one's understanding of a specific disorder B. Providing patient-centered care to each individual, recognizing his or her uniqueness C. Engaging in a professional development activity to earn continuing education credit D. Using information from individual client care to improve outcomes at a macro level

D. Using information from individual client care to improve outcomes at a macro level

Which set of client arterial blood gas (ABG) values indicates to the nurse that some mechanisms are working to partially compensate for an acid-base imbalance? A. pH 7.42; Pao2 92 mm Hg; CO2 41 mm Hg; HCO3 − 28 mEq/L (mmol/L) B. pH 7.46; Pao2 98 mm Hg; CO2 38 mm Hg; HCO3 − 30 mEq/L (mmol/L) C. pH 7.22; Pao2 60 mm Hg; CO2 80 mm Hg; HCO3 − 22 mEq/L (mmol/L) D. pH 7.29; Pao2 78 mm Hg; CO2 82 mm Hg; HCO3 − 36 mEq/L (mmol/L)

D. pH 7.29; Pao2 78 mm Hg; CO2 82 mm Hg; HCO3 − 36 mEq/L (mmol/L)

In reviewing the electrolytes of a client, the nurse notes the serum potassium level has increased from 4.6 mEq/L (mmol/L) to 6.1 mEq/L (mmol/L). Which assessment does the nurse perform first to prevent harm? A. Deep tendon reflexes B. Oxygen saturation C. Pulse rate and rhythm D. Respiratory rate and depth

C. Pulse rate and rhythm

A client had an exploratory laparotomy to treat the cause of peritonitis and has a large incision that is closed with staples and two abdominal drains. Which finding(s) would the nurse report immediately to the surgeon? Select all that apply. A. Serosanguineous drainage B. Increased abdominal distention C. Fever and chills D. Pain level 2 on a scale of 0 to 10 E. Passing flatus

B. Increased abdominal distention C. Fever and chills

What is the generalist registered nurse's role related to patient care within a system? Select all that apply. 1. Caring 2. Teaching 3. Collaborating 4. Advocating 5. Researching 6. Prescribing

1. Caring 2. Teaching 3. Collaborating 4. Advocating 5. Researching 6. Prescribing

An older adult is admitted to the hospital. The client's height is 5 feet, 6 inches (1.68 m), and weight is 250 lb (113.3 kg). The nurse calculates the client's current body mass index (BMI) as _______. Fill in the blank. Round your answer to the nearest whole number.

40.0

The nurse is conducting assessments for clients at potential risk for infection. Which client is most at risk for acquiring an infection? A. A client who had an open incision for abdominal surgery B. A client who has not been immunized for pneumonia or influenza C. A client who works in a high-stress job for an accounting practice D. A client who is 85 years old and in good health

A. A client who had an open incision for abdominal surgery

The nurse is caring for an older client who is experiencing acute confusion and agitation following a fractured hip repair this morning. Which risk factors may be contributing to the client's delirium? Select all that apply. A. Anesthesia used during surgery B. Surgical pain C. Unfamiliar environment D. Noisy hospital unit E. Medications used to manage pain

A. Anesthesia used during surgery B. Surgical pain C. Unfamiliar environment D. Noisy hospital unit E. Medications used to manage pain

The nurse is caring for four clients who have been recommended to consider bariatric surgery. Which assessment data require immediate nursing intervention? A. BMI of 23 with gastrointestinal reflux B. BMI of 36 with hypertension C. BMI of 40 with type II diabetes D. BMI of 43 with sleep apnea

A. BMI of 23 with gastrointestinal reflux

Which environments of care will the nurse recognize as components of the health care system? Select all that apply. A. Long-term care B. Primary care C. Free-standing emergency department D. National League of Nursing E. Patient-centered medical home F. World Health Organization

A. Long-term care B. Primary care C. Free-standing emergency department E. Patient-centered medical home

When preparing to discharge a client who has a history of pediculosis, what teaching will the nurse provide? Select all that apply. A. Nits can be removed with a fine-tooth comb. B. Parasites eventually die off without treatment. C. Wash bed linens in hot water to remove lice and eggs. D. Lice can live on clothing items and any surface that is covered by fabric. E. Lice can infest any place on the body with hair, including eyelashes and axillae.

A. Nits can be removed with a fine-tooth comb. C. Wash bed linens in hot water to remove lice and eggs. D. Lice can live on clothing items and any surface that is covered by fabric. E. Lice can infest any place on the body with hair, including eyelashes and axillae.

A nursing assistant in a nursing home reports to the nurse that an 87-year-old nursing home client has a 6-inch reddened wound with pus draining from it on his shin where he scratched it open yesterday. After directly assessing the client's wound, what are the most relevant priority actions for the nurse to take? Select all that apply. A. Take a photo of the wound to show the primary health care provider when rounds are made 2 days from now. B. Assess the client for signs and symptoms of systemic infection, including temperature elevation. C. Notify the primary health care provider now and request a prescription for antibiotic therapy. D. Ask the primary health care provider to prescribe a tetanus booster vaccination. E. Immediately obtain a specimen for culture and sensitivity testing. F. Cleanse the wound and apply a dry dressing to it.

A. Take a photo of the wound to show the primary health care provider when rounds are made 2 days from now. B. Assess the client for signs and symptoms of systemic infection, including temperature elevation. C. Notify the primary health care provider now and request a prescription for antibiotic therapy. F. Cleanse the wound and apply a dry dressing to it.

How do plasma cells provide immune protection? A. They actively secrete immunoglobulins against specific antigens. B. They interact with virgin B lymphocytes at first exposure to an antigen, enhancing B-lymphocyte sensitization. C. They regulate the function of natural killer cells, preventing unnecessary damage or death to normal healthy body cells. D. They are responsible for balancing helper cell activity with regulator T-cell activity, ensuring that an immunologic response can be mounted whenever the body is invaded by pathologic microorganisms but limiting the response when the body receives antigens as drugs or food.

A. They actively secrete immunoglobulins against specific antigens.

A client is receiving an intravenous infusion of 100 mEq (mmol) of potassium chloride in 1000 mL of normal saline. How many mEq (mmol) of potassium per hour does the nurse calculate the client will receive if the IV is infused at a rate of 150 mL/hour? A. 12 mEq (mmol) B. 15 mEq (mmol) C. 18 mEq (mmol) D. 20 mEq (mmol)

B. 15 mEq (mmol)

Which nursing activities may be safely delegated to competent assistive personnel (AP)? Select all that apply. A. Discharge teaching B. Blood pressure monitoring C. Gastrostomy feeding D. Oxygen administration E. Ambulation assistance

B. Blood pressure monitoring E. Ambulation assistance

The nurse is caring for a client with peritonitis from a perforated appendix. Which abdominal assessment finding will the nurse most likely expect? A. Soft abdomen B. Board-like abdomen C. Slightly distended abdomen D. Absent bowel sounds

B. Board-like abdomen

A client reports increasing diffuse pain in the entire right leg. What is the nurse's priority action at this time? A. Elevate the right leg on a pillow. B. Perform a peripheral vascular assessment. C. Check for swelling in the right leg. D. Notify the Rapid Response Team immediately.

B. Perform a peripheral vascular assessment.

A client is diagnosed with C. difficile infection. What nursing action is the priority for the client? A. Provide meticulous skin care. B. Place the client on Contact Precautions. C. Give the client an antipyretic medication. D. Encourage the client to drink extra fluids.

B. Place the client on Contact Precautions.

How do macrophages contribute to the neutrophilia that occurs in response to an acute bacterial infection? A. When invasion occurs, macrophages mature into neutrophils, increasing their circulating numbers. B. Macrophages have only an indirect role in neutrophilia by secreting substances that reduce bone marrow production of erythrocytes and platelets. C. At the onset of invasion, macrophages secrete a colony-stimulating factor to induce the bone marrow to increase production and release of neutrophils. D. Inflammatory damage to macrophages allows release of proteolytic enzymes that enhance liver production of all white blood cell types, including mature segmented neutrophils.

C. At the onset of invasion, macrophages secrete a colony-stimulating factor to induce the bone marrow to increase production and release of neutrophils.

The nurse is caring for a client who has been on biologic therapy for plaque psoriasis. Which assessment finding requires immediate nursing intervention? A. Increased itching B. Temperature of 100°F C. Presence of new plaques on leg D. Expression of impaired self-image

C. Presence of new plaques on leg

Which cells, products, or actions are involved in long-lasting immunity resulting from exposure to a specific antigen? Select all that apply. A. Antibody attenuation B. Interleukin 10 (IL-10) C. Memory B-cells D. Monocyte maturation E. Neutrophilia F. Phagocytosis

C. Memory B-cells D. Monocyte maturation

The client who is confined to bed in the recumbent position has gained 5 lb (2.3 kg) in the past 24 hours. In which area does the nurse assess skin turgor for accurate determination of dependent edema? A. Foot and ankle B. Forehead C. Sacrum D. Chest

C. Sacrum