An 8-Year-Old Boy Is Brought to the Emergency Department Due

question 243

Multiple Choice

An 8-year-old boy is brought to the emergency department due to 24 hours of fever and chills.  Temperature is 38.3 C (101 F) .  On examination, the patient is lethargic with dry mucous membranes.  There are no oropharyngeal lesions, and tympanic membranes are normal.  The lungs are clear on auscultation, and heart sounds are normal.  The abdomen is soft and nontender.  There is no skin rash.  Laboratory testing shows a leukocyte count of 24,000/mm³ with 15% bands, 80% neutrophils, and 5% lymphocytes.  Peripheral blood smear is shown in the exhibit. 
Blood cultures are obtained and intravenous fluids and empiric antibiotics are initiated.  The patient's blood cultures are most likely to grow which of the following organisms?

• A)Escherichia coli
• B)Pseudomonas aeruginosa
• C)Staphylococcus aureus
• D)Streptococcus pneumoniae
• E)Streptococcus pyogenes
• F)Viridans streptococci

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Definitions:

Achievement Behaviors

involve actions aimed at excelling, surpassing goals, and performing at high standards to achieve success.

Perform Their Very Best

This phrase emphasizes the act of individuals giving their utmost effort and achieving the highest level of performance in their tasks or roles.

External Locus Of Control

The belief that one's achievements or failures result from external factors, forces, or luck rather than one's own actions or efforts.

Organization

An arranged group of individuals aimed towards achieving particular goals and objectives, often structured in a specific way to facilitate coordination and efficiency.