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):

Which of the following are true regarding X&V factor? 1. X factor is hemin or hematin 2. V factor is nicotinamide adenine dinucleotide (NAD) 3. V factor is readily available in BAP 4. X factor is produced by Staphylococcus aureus

A 22-year-old landscaper from Nantucket reports to his physician with fever of 104°F and an ulcerated infection at the site of a tick bite in his left triceps area. There is also significant axillary lymphadenopathy. The patient was treated successfully with empiric therapy for “rabbit fever.” Which pathogen is likely the etiologic agent in this infection and which statement is true?

A patient presents to a clinic with a rash, itchy skin. Fever, chills, cough, and muscle aches. The doctor tells him that he has the flu and sends him home. Several weeks later, the patient returns to the clinic and states that he has been extremely fatigued and has had blood in his urine. Which organism would you expect to find? 

Which of the following hookworms results in a more serious infection?

During assessment of a client’s right knee, the nurse notes crepitation. What might this assessment finding indicate?

The provider instructed the client to follow his finger to lateral gazes in the diagnostic positions.  Identify an abnormal finding for this test.

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.

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

Rebound tenderness of the abdomen is associated with what condition?