The client with cellulitis of the lower leg has had cultures done on the affected area. The nurse reviewing the results of the culture report interprets that which of the following organisms is not part of the normal flora of the skin?
1. Escherichia coli
2. Candida albicans
3. Staphylococcus aureus
4. Staphylococcus epidermidis
1
Rationale: E. coli is normally found in the intestines and is a common source of infection of wounds and the urinary system. C. albicans, S. aureus, and S. epidermis are part of the normal flora of the skin.
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Neuroleptic drugs are prescribed to treat _____ disorders
a. Anxiety b. Personality c. Psychotic d. Somatoform
An 18-month-old child is admitted with signs of increased intracranial pressure. What should the nurse observe when assessing this patient?
A) Numbness of fingers and decreased temperature B) Increased pulse rate and decreased blood pressure C) Increased temperature and decreased respiratory rate D) Decreased level of consciousness and increased respiratory rate
A 10-year-old boy on a bicycle has been hit by a car in front of a school. The school nurse immediately assesses airway, breathing, and circulation. What should be the next nursing action?
a. Place the child on his side. b. Take the child's blood pressure. c. Stabilize the child's neck and spine. d. Check the child's scalp and back for bleeding.
The nurse is preparing to take the patient's temperature. Which of the following may cause the temperature to fluctuate? (Select all that apply.)
a. Age b. Stress c. Hormones d. Medications