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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?

How should the nurse assess level of consciousness for a client with a head injury?

Match the pathophysiological finding with the client condition.  Some items may be used twice or not at all.

What electrolyte level  should the nurse look up to provide insight into the client’s water balance?

What does nurse assess for the “D” in the ABCDE pneumonic?

The nurse is caring for a client admitted for dehydration.  Identify the lab values the nurse will review to assess the client’s kidney function before passing medications.