An 80-year-old client is being treated for chronic urinary tract infections. She has received multiple antibiotics in the past 6 months. The physician orders a urine culture

The results of the urine culture are as follows: Staphylococcus aureus >100,000 colonies and demonstrated resistance to sulfamethoxazole and trimethoprim (Bactrim), penicillin, methicillin, and erythromycin. The client is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) on the basis of the findings of her urine test. Based on the client's history, a cause of the MRSA might be microbial:
A) Rejection
B) Assimilation
C) Adaptation
D) Stagnation


Ans: C
Feedback:
Microbial adaptation and change in response to the overuse of antibiotics and consequent accumulation in the environment will cause the rapid evolution of resistant pathogens. MRSA is not associated with microbes being rejected, assimilated, or stagnant.

Nursing

You might also like to view...

A nurse is volunteering for the local chapter of the cancer society and is planning breast cancer screening and educational activities in the community. In order to have the most impact on this disease, which women should the nurse target?

A. African Americans B. Asian Americans C. Caucasian Americans D. Native Americans

Nursing

You are caring for a patient with a diagnosis of pancreatitis. The patient was admitted from a homeless shelter and is a vague historian

The patient appears malnourished and on day 3 of the patient's admission total parenteral nutrition (TPN) has been started. Why would you know to start the infusion of TPN slowly? A) Patients receiving TPN are at risk for hypercalcemia if calories are started too rapidly. B) Malnourished patients receiving parenteral nutrition are at risk for hypophosphatemia if calories are started too aggressively. C) Malnourished patients who receive fluids too rapidly are at risk for hypernatremia. D) Patients receiving TPN need a slow initiation of treatment in order to allow digestive enzymes to accumulate

Nursing

A patient's husband is dying of cancer. Which statements by the nurse are appropriate? Select all that apply

1. "He's going to a better place." 2. "Don't worry. Everything will be OK." 3. "Please let me know if I can help in any way." 4. "Would you like to talk about what's happening?" 5. "Do you have any questions about what is happening with your husband?"

Nursing

The patient received an overdose of morphine. Naloxone is given to block the narcotic response. What is the effect achieved when naloxone is administered known as?

A. Additive B. Negative C. Synergistic D. Antagonistic

Nursing