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A 48-Year-Old Man Comes to the Emergency Department Due to Fever

question 37

Multiple Choice

A 48-year-old man comes to the emergency department due to fever and cellulitis of the distal right lower extremity. He was initially seen in a clinic 2 days earlier and treated with oral clindamycin, but he subsequently developed increasing erythema. Medical history is notable for nondeforming rheumatoid arthritis treated with hydroxychloroquine and a similar episode of cellulitis 2 years ago that resolved with a course of cefazolin. The patient is admitted to the hospital and treated with cefazolin and leg elevation. His fever rapidly resolves and the area of erythema recedes. However, 3 days after admission, serum creatinine increases from 1.2 to 1.9 mg/dL.
Urinalysis results are as follows:
Urine stain for eosinophils is negative.
Which of the following is the most likely diagnosis in this patient?

Identify the professional responsibilities and obligations of nurses in psychiatric settings, including adherence to standards of care despite institutional policies.

Demonstrate knowledge of patient dignity and the principle of treating patients with respect within psychiatric care.

Apply the ethical principle of autonomy in psychiatric nursing practice.

Manage scenarios involving medication refusal ethically and in accordance with patient rights.

Definitions:

Annelids

A phylum of invertebrate animals characterized by their segmented bodies and include earthworms, leeches, and marine worms.

Diving Marine Mammals

Marine animals, such as whales, seals, and dolphins, adapted to diving deep under water to feed, communicate, or avoid predators.

Adaptations

The method through which a species adapts to its surroundings; this occurs as natural selection works on variation that can be passed down through generations.

Seals

A group of aquatic mammals known for their streamlined bodies, flippers, and often living in cold seas, part of the family Phocidae.