A Child with Otitis Media Has Had Three Ear Infections

question 9

Multiple Choice

A child with otitis media has had three ear infections in the past year. The child has just completed a 10-day course of amoxicillin [Amoxil] with no improvement. The parent asks the nurse why this drug is not working, because it has worked in the past. What will the nurse tell the patient?

• A) "Amoxicillin is too narrow in spectrum."
• B) "The bacteria have developed a three-layer cell envelope."
• C) "The bacteria have developed penicillin-binding proteins (PBPs) that have a low affinity for penicillins."
• D) "The bacteria have synthesized penicillinase."

---

Definitions:

Economic Basis

refers to the foundational activities, sectors, or resources upon which an economy is built and sustains its growth.

Absolute Advantage

The ability of an individual, company, or country to produce a good or service more efficiently than competitors.

Specialization

The process of focusing on and becoming expert in a particular subject or skill, often resulting in increased efficiency and productivity.

Nations

Large groups of people united by common descent, history, culture, or language, inhabiting a particular country or territory.