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Questions 13-20 refer to the following reaction scheme. Provide the requested information for each number pictured in the reaction scheme.  Image Description The reaction proceeds in the following manner: In reaction 1, 2-Amino-3-methylbutanoate is converted to 3-Methyl-2-oxobutanoic acid in the presence via the replacement of an amine group with a ketone. In reaction 2, 3-Methyl-2-oxobutanoic acid is converted to isobutyryl-CoA via the replacement of a carboxylic acid with SCoA. In reaction 3, Isobutyryl-CoA is converted to crotonyl-CoA (in which one of the terminal CH3 groups is converted into a CH2 group as a C=C double-bond is formed).In the next reaction, which is not numbered in the diagram, Crotonyl-CoA is converted to 3-hydroxy-2-methylpropionyl-CoA via attachment of an alcohol to the terminal CH2 with a double C=C bond, converting the C=C bond back into a C-C single bond. And then, to 3-Hydroxy-2-methylpropionate via replacement of SCoA with an oxygen. In the next reaction, involving molecule 4 in the diagram, 3-Hydroxy-2-methylpropionate is converted into 3-formyl-2-methylpropionate in the presence of molecule 4 via converting the terminal oxygen into an aldehyde. Molecule 4 is converted into an unknown in the process. In the next reaction, involving molecule 5 in the diagram, 3-formyl-2-methylpropionate is converted into propionyl CoA (whose structure is not shown) in the presence of an unknown cofactor or substrate, which is converted into molecule 5. Additionally, NAD+ is utilized and converted into an unknown product in the process.  In the next reaction, involving molecule 6 in the diagram, Propionyl CoA is converted into D-methyl malonyl CoA in the presence of molecule 6. In the next reaction, creating molecule 7 in the diagram, D-methyl malonyl CoA is converted to the unknown product 7. In the final reaction, creating product 8 in the diagram, Product 7, in the presence of cobalamin, is converted to the unknown product 8.

28)  A nurse is caring for a client who has a bacterial infection. Which of the following cleansing agents should the nurse use for hand hygiene?

40)  A nurse is disposing of a patient’s urine after collecting a urine sample. Which of the following actions should the nurse take to ensure proper disposal and infection control?

30)  A nurse is providing nail care for a client. Which of the following actions should the nurse take?

50)  A nurse is making a patient’s bed and ensures that the linens are wrinkle-free. Which of the following actions should the nurse take to prevent wrinkles in the bed linens and promote patient comfort?

34) The nurse is caring for a client with a pressure injury.  The wound is a shallow open area with a red-pink wound bed and partial thickness loss of the dermis.  The nurse will document this pressure injury as which of the following?

12) Prior to performing oral care on a patient, the nurses should assess for all of the following except?

41) A nurse is handling soiled linens and other items from a patient’s room. Which of the following actions should the nurse take to ensure proper infection control and safety? 

49)  A nurse is teaching a nursing assistant how to properly make an occupied bed for a bedridden patient. Which of the following instructions should the nurse include to ensure the procedure is done safely and efficiently?

15)  The nurse has delegated the changing of linens to an unlicensed assistive personnel (UAP).  The nurse will know the UAP understands medical asepsis principles when the UAP has performed which of the following?