Testing Non-hemolytic colonies grew on the BAP after 24 hours. Since a semi-quantitative method was used for streaking, the technologist reported that there were more than 100,000 colonies/ml in the sample. No growth was observed on the MSA plate, but colonies grew on the MAC plate (shown below). The organism was found to be negative for lactose fermentation. Question: Based on the number of colonies that grew on the BAP plate and the other information provided, does Trudy actually have a urinary tract infection?  

A client calls the clinic and tells the nurse that the peak expiratory flow rate has been around 85% of personal best. The nurse will instruct the client to take which action?  

A number of factors must be in place for a team to perform well. All of the following are considered essential for team effectiveness EXCEPT the:

Which are the primary neurotransmitter and receptor of the parasympathetic nervous system that contracts the smooth muscle of the gastrointestinal tract?

The medication order is for levothyroxine (Synthroid) 0.05mg per day. How many tablet(s) should be given each dose?  

The nurse reviews the history of a client diagnosed with asthma. The client is prescribed ipratropium-albuterol (Combivent), an anticholinergic medication combined with a short acting beta2 agonist medication. What fact in the patient history most concerns the nurse?

A client reports an increase in nasal congestion after discontinuing oxymetazoline (Afrin), a nasal decongestant spray. How will the nurse best explain rebound congestion to the client?

Which of the following tips should be used by leaders to reduce personality conflict?

Case Study #5a   Scenario Trudy, 52, was in treatment for cervical cancer. Although she was tolerating the chemotherapy well, she kept getting bladder infections, for which an antibiotic was prescribed. The symptoms would go away, only to return within a week or two. When she arrived at the cancer treatment center for her latest round of chemotherapy, she let the nurse know that she thought the infection was back once again. Signs and Symptoms The nurse asked Trudy to describe her symptoms. She reported having a persistent “full bladder” feeling that didn’t go away after voiding, and that she thought she had a fever. The nurse confirmed that Trudy did have a low-grade fever.  Testing The nurse also tested Trudy’s urine with a urine dipstick, and sent a sample to the microbiology lab for culture. The dipstick was positive for blood, nitrite, and leukocyte esterase. The lab technologist noted that the urine appeared cloudy, and transferred a small amount to a slide and directly observed it with a microscope. A smear of the urine was Gram stained and then samples were transferred to MacConkey Agar (MAC), Mannitol Salt Agar (MSA), and Blood Agar (BAP) plates for culture. Growth was observed on MacConkey agar and blood agar only. The Gram stain is shown below. Question: Based on the information provided, which of the following could most likely be responsible for Trudy’s signs and symptoms?  

The nurse administers the first dose of prazosin (Minipres), an alpha1 receptor antagonist (blocker). Which is a priority instruction for the nurse to give to the client?