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10 point quiz, 30 minutes to complete.

CASE STUDY 1 You are called to the ER to assess a 11-year-old with an acute asthma exacerbation. Patient reports he only has these symptoms during allergy season. You find increased vitals (RR, HR, BP), SpO2 90%, inspiratory and expiratory wheezes, dyspnea, and use of accessory muscles. You choose the following (select all that apply):

A gram-negative bacillus is isolated from the sputum culture from a 21 year-old cystic fibrosis patient. Based on the following biochemical reactions, what is the most likely identification of the organism? Oxidase = negative Motility = positive Glucose = oxidized Lysine = positive Nitrate = negative

Given the following biochemical reactions, identify the organism: Citrate: peacock blue PAD: negative H2S: negative Lysine: purple  Ornithine: purple  Decarb base: yellow  MR: negative VP: positive Indole: negative Motility: positive ONPG: positive  DNAse: negative  

A urine culture from a 64 year old male grows a significant number of Gram-negative bacilli.  The organism is gamma hemolytic on BAP, clear on MAC, and yields the following biochemical reactions: TSI = K/A, motility pos, VP neg, MR pos, citrate neg, DNAse neg, ornithine pos, PAD pos, indole pos, urea pos, gelatinase neg, LIA red/yellow. What is the ID of this organism?

The x-ray confirms right middle lobe pneumonia.  Where would the nurse expect to hear adventitious sounds?

What lifestyle modification should the nurse teach to the client who has high blood pressure?

The nurse documents that the client’s abdomen is distended, tender in all 4 quadrants with light palpation, and 40 inches in circumference.  What type of data has the nurse recorded?