Shadow Health EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

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SURED COMPLETE SOLUTIONS AND VERIFIED ANSWER
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S (14712)
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QUESTION 1 zm




Term
ANSWER

Definition



QUESTION 2 zm




An older adult is being admitted with a 2-day history of watery; foul-
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smelling diarrhea; nausea and fever. What is a priority action by the nurse?
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A. Place the client on contact isolation
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B. Provide the client a bedside commode
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C. Send a stool sample to the lab
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D. Place a disposable adult diaper on the client.
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ANSWER

A. Place the client on contact isolation (Note: Patient indicates C-diff)
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QUESTION 3 zm




The nurse is caring for a client who reports severe abdominal pain and rigidity for th
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ree days. The skin is jaundiced. Serum amylase and lipase levels are elevated. How sh
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ould the nurse intervene?
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A. Administer kayexalate rectally
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B. Maintain a NPO status
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C. Administer hydrocodone-acetaminophen
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D. Provide lemon glycerin swabs for dry mouth
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ANSWER

, B. Maintain a NPO status
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QUESTION 4 zm




A client with chronic liver failure has developed hemoptysis. A sengstaken-
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blakemore tube has been inserted. What assessment findings would cause the nurse t
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o intervene?
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A. A deflated gastric balloon
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B. Balloon pressure of 35mmHg
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C. Hematemesis when the balloons are deflated
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D. A decrease in hemoptysis with balloon inflation
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ANSWER

A. A deflated gastric balloon
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QUESTION 5 zm




After a colon resection, the client has a dehiscence of the midline abdominal incision.
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What intervention is warranted?
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A. Take a culture of the drainage
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B. Measure the abdominal incision
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C. Saturate the incision with betadine
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D. Apply sterile gauze soaked in sterile saline
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ANSWER

D. Apply sterile gauze soaked in sterile saline
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QUESTION 6 zm




The nurse is caring for a client following abdominal surgery. Which assessment findin
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g is a PRIORITY for the nurse to communicate to the health care team?
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A. Vomited 200mL brown liquid with fecal odor
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B. Urine output of 60mL/hr
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C. High-pitched bowel sounds
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D. Temperature of 100.8F
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ANSWER

A. Vomited 200mL brown liquid with fecal odor
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QUESTION 7 zm




The nurse is preparing to administer sennosides to a client experiencing constipation.
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What assessment data should prompt the nurse to hold this medication?
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A. No bowel movement in four days
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