A 39-Year-Old Paraplegic Man with an Indwelling Bladder Catheter Comes

question 62

Multiple Choice

A 39-year-old paraplegic man with an indwelling bladder catheter comes to the emergency department complaining of 24 hours of rigors, nausea, and vomiting.  His temperature is 38.9 C (102 F) .  Physical examination shows suprapubic and costovertebral angle tenderness.  Urinalysis shows 3+ leukocyte esterase and numerous white blood cells.  Urine and blood cultures grow non-lactose-fermenting Gram-negative rods.  Which of the following pathogens is the most likely culprit?

• A)Enterobacter cloacae
• B)Enterococcus faecalis
• C)Escherichia coli
• D)Klebsiella pneumoniae
• E)Pseudomonas aeruginosa
• F)Staphylococcus saprophyticus

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Definitions:

Country Club Managers

A term used to describe leaders or managers who prioritize the comfort and satisfaction of their team, often focusing more on creating a pleasant work environment than on achieving aggressive performance objectives.

Human Relations

The study and management of how people interact in the workplace, aiming to improve job satisfaction, efficiency, and productivity.

Agreeable

Describes a personality trait characterized by kindness, cooperativeness, warmth, and a willingness to accommodate others.

Leadership Traits

Characteristics or qualities that are often seen in effective leaders, such as confidence, integrity, and ability to inspire.