The client asks the nurse why culture and sensitivity (C&S) testing has to be done prior to starting the antibiotic for a urinary tract infection (UTI)
The nurse explains that several organisms can cause UTIs and a C&S is performed to identify the organism. Which organism could be isolated on this client's C&S?
Standard Text: Select all that apply.
1. Escherichia coli
2. Enterococci
3. Proteus mirabilis
4. Treponema
5. Borrelia burgdorferi
Correct Answer: 1,2,3
Rationale 1: Escherichia coli is the organism most commonly associated with UTIs.
Rationale 2: Enterococci can cause UTI.
Rationale 3: Proteus mirabilis can cause UTI.
Rationale 4: Treponema is the organism responsible for syphilis.
Rationale 5: Borrelia burgdorferi is the organism responsible for Lyme disease.
Global Rationale: E. coli, P. mirabilis, and enterococci are commonly associated with UTI.
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Which of the following interventions would be appropriate when working with a woman whose nursing diagnosis is Ineffective coping related to impaired impulse control as evidenced by impulsive self-injurious behavior? (Select all that apply.)
a. Assist the patient to develop a list of effective coping options to carry for future use. b. Encourage her to use negative reinforcers (e.g., pain) to discourage undesired behavior. c. Guide the patient to examine the advantages and costs of her present coping strategies. d. Help her to practice the desired responses in role plays and later in real-life situations. e. Teach the patient to "cue" herself to stop and think before taking undesired actions. f. Consult with her psychiatrist about antianxiety medication to help reduce impulsiveness.
A nurse assessing a client with alcohol dependence observes that the pulse rate of the client is 120 beats per minute and the diastolic blood pressure is 120 mm Hg. Which of the following actions does this observation suggest?
A) Monitor for withdrawal symptoms. B) Monitor fluid intake and output. C) Monitor for seizure activity, hallucinations, and tremors. D) Consult with the physician regarding the need for a sedative.
When caring for a patient who has an abductor wedge in place following a total hip replacement, the nurse should assess for:
a. muscle spasms. b. alteration in peripheral circulation. c. compression fracture. d. appropriateness of the size of the wedge.
A patient who was an unrestrained driver in a high-speed, head-on motor vehicle collision presents with dyspnea, tachycardia, hypotension, jugular venous distention, tracheal deviation to the left, and decreased breath sounds on the right side
What is the most likely diagnosis? a. Tension pneumothorax b. Cardiac tamponade c. Simple pneumothorax d. Ruptured diaphragm