WELL VERIFIED ANSWERS [GRADED A+]
ACTUAL EXAM 100%
orthopedic unit is caring for four clients - ANS✔✔---An older adult who has a hip fracture
and is in Buck's traction
Spina Bifida - ANS✔✔---"I only need to catheterize myself twice every day."
newborn - ANS✔✔---Clear the respiratory tract.
delegate - ANS✔✔---obtain vital signs, administer a tap-water enema to a client who is
postop, catheterize a client who has not voided in 8 hr.
Leukemia - ANS✔✔---A child who has nephrotic syndrome
Chronic kidney - ANS✔✔---pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg
three liquid medications - ANS✔✔---Flush the NG feeding tube with 30 mL of water
immediately following medication administration
stroke involving the right hemisphere - ANS✔✔---Inability to recognize his family
members
, Hemophilia A - ANS✔✔---Recombinant
Hypokalemia - ANS✔✔---The client who has a nasogastric (NG) tube to suction
acute psychosis and is being treated with haloperidol - ANS✔✔---Tongue thrusting and
lip smacking
Facial grimacing and eye blinking
Involuntary pelvic rocking and hip thrusting movements
Heparin - ANS✔✔---"Heparin does not dissolve clots. It stops new clots from forming."
blood-tinged urine - ANS✔✔---Bladder infection
deep vein thrombosis and has been on heparin - ANS✔✔---"Warfarin takes several
days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level."
Oral care - ANS✔✔---turn the client on his side before starting oral care.
enteric-coated aspirin - ANS✔✔---"Crushing the medication might cause you to have a
stomachache or indigestion."
MY ANSWER
I am afraid that i may fall while - ANS✔✔---Leave a nightlight on in the client's room.
total parenteral nutrition - ANS✔✔---Measure the circumference of both upper arms.
Checking the pupillary response to light - ANS✔✔---cranial nerve 111
13 year old female - ANS✔✔---"None of the kids at this school like me, and I don't like
them either."
incident report - ANS✔✔---A client discovers that his dentures are missing.