Your Patient Had Abdominal Surgery Three Days Ago

question 9

Multiple Choice

Your patient had abdominal surgery three days ago. She seemed to be doing well after the surgery, but today the skin around the surgical incision is red and swollen. In addition, your patient has a high fever and is complaining of muscle aches. She also has a rash and has diarrhea. You realize that her wound has become infected, despite your best efforts as a nurse, and you are concerned that she has developed toxic shock syndrome. You explain the details of this type of infection to the patient's family.


-You are extremely concerned, because the laboratory reports that the organism cultured from your patient's wound is capable of digesting collagen and fibronectin. Why are you worried about this?

• A) These are structural components of tissue. Their digestion means that not only could the organisms spread easily, but also important structures such as tendons could be destroyed.
• B) This would indicate that the organism is capable of forming biofilms and it is very difficult to eliminate biofilms once they have developed, because of resistance.
• C) This would indicate that the bacterium is a lysogen, containing viral DNA conferring new characteristics on the organism. Bacteriophages pose an additional health risk to your patient.
• D) These are structural components specifically of the heart. Their digestion means that the patient is at risk of heart failure, which will prove fatal.
• E) This would indicate that the pathogen has the ability to break down activated complement proteins, thereby avoiding the innate immune defenses and allowing it to persist. 

Understand the methods of depreciation and how they reflect the expense allocation over the asset's useful life.

Grasp the significance of capital expenditures and how they impact financial statements.

Familiarize with the accounting treatment and journal entries related to fixed asset transactions.

Recognize the adjustments needed when changes occur in the estimated useful life or residual value of an asset.

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Definitions:

Tax Rate

The fraction of earnings taxed from a person or a company.

CCA Class

Refers to categories in the Capital Cost Allowance system where assets are grouped according to their nature and function for tax depreciation purposes in Canada.

Annual Depreciation Tax Shield

This represents the tax savings a company achieves due to depreciation expense, calculated as the depreciation times the tax rate.

Tax Rate

The percentage at which an individual or corporation is taxed, which can vary based on income level, jurisdiction, and type of tax.