A 65 year old patient presents with a 4 day history of diarrhea. After obtaining a thorough HPI, ROS and performing a Physical Exam, you order a stool culture, enteric pathogen panel, occult blood test and urine analysis. The urine analysis shows a specific gravity of 1.025 and ketones of 2. You recognize these UA findings are consistent with [answer1] and [answer2] respectively. (Fill in the blanks)

What is the automated test that uses antibodies to detect the presence of antigens in the patient’s serum?

An 70 year old presents with a 3 day history of abdominal pain. The patient reports he receives dialysis 3 days per week. On physical exam, the patient demonstrates rebound tenderness and guarding. The APRN understands that the presence of peritoneal signs or persistent focal tenderness on abdominal examination is suggestive of infection. The APRN should: 

Match the following type of WBC with its description

School recently started for a 10-year old male.  He has had intermittent vomiting (once daily) and abdominal pain for 3 to 4 days. He has had two very small, liquid stools without blood over these last few days. No fever.  On physical exam, his abdomen is distended with hypoactive bowel sounds and he is tender to palpation in all quadrants. His abdominal film is presented below and demonstrates constipation. The APRN understands that constipation in adolescence is most commonly a consequence of  

A 36-year old patient presents with a 4 day history of diarrhea, fever, chills and a HA. While obtaining the patient’s HPI, she reports she is currently 18 weeks pregnant. She denies exposure to illness or recent foreign/domestic travel. She denies that anyone else in the home has experienced similar symptoms. With prompting, the patient does state she recently ate at a local sandwich shop for lunch. As the APRN caring for this patient, you suspect the cause of her diarrhea is associated with: 

What is the correct interpretation of the following lab result?

David is a 38 year old male who presents to the ER with a 30 minute history of facial and neck flushing, itching, HA, dizziness and N/V/D.  David appears to be in mild acute distress and uncomfortable. He is accompanied by his wife.  After prompting, the wife reports they had just sat down to dinner and because of their religion, they eat fish during Lent. The wife reports they had been to a local Sushi restaurant and David’s favorite appetizer is Ahi Tuna. As the APRN caring for David, you suspect he has _________ poisoning. Please fill  in the blank. 

Match the following type of WBC with its description

A father brings his 3 year old child to the Urgent Care setting with a 4 hour history of foreign body ingestion. The father reports he was cleaning out the “junk drawer” while his 3 year old was playing in close proximity to him. He reports the child came over and said “I ate something off the floor Daddy” The father is concerned the child may have swallowed something out of the “junk drawer”.  On inspection you note a healthy appearing 3 year old who is tearful and clinging to her dad. You ask the child if she ate something off the floor and she nods her head “yes”. After performing a primary survey, you order an AP and lateral x-rays of the neck and chest. On assessment of the films, you note a small round object sitting in the upper esophagus. As the APRN, what would be your next step in treatment of this child?