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A 77-Year-Old Woman Is Brought to the Emergency Department Due

question 416

Multiple Choice

A 77-year-old woman is brought to the emergency department due to fever and confusion.  The patient has a history of Alzheimer dementia and lives in a nursing home.  Temperature is 38.4 C (101.1 F) , blood pressure is 104/74 mm Hg, pulse is 110/min, and respirations are 18/min.  Suprapubic tenderness is present on physical examination.  Urinalysis shows numerous bacteria and leukocytes, and urine culture grows Pseudomonas aeruginosa.  Further analysis reveals that the isolated organism produces an enzyme that is located on the cytoplasmic surface of the cell membrane and that catalyzes the transfer of acetyl groups to exogenous substances.  The bacteria are most likely resistant to which of the following antibiotics?


Definitions:

Overhead Allocation Base

A measure used to distribute overhead costs to various products or service units within a business.

Overhead Costs

Indirect expenses related to the operation of a business, such as utilities, rent, and administrative salaries, not directly tied to a specific product or service.

Predetermined Overhead Rate

An estimated charge per unit of activity used to allocate overhead costs to products or services, calculated before the costs are actually incurred.

Direct Labor Cost

The total expense for all labor directly involved in the production of goods or services, excluding indirect labor costs like maintenance or supervision.

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