Please Read the Clinical Scenario, and Then Answer the Question

question 62

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Jennifer is a 13-year-old girl with cerebral palsy, who came to your children’s hospital for a posterior spinal fusion, where her spine was straightened with rods that were surgically implanted. She tolerated the procedure well, but now 24 hours after the lengthy operation, her blood pressure is 70/25, with a heart rate of 150, fever of 104 degrees, and breathing deeply and rapidly. Whereas several hours ago her vital signs were stable and she was talking to you, she now seems to show no interest in interacting with anybody. Of note, her incision site down her back is swollen, red, and oozing a cloudy white substance. You call the attending physician, who rushes to the bedside.
-It is discovered through Gram stain that the offending microorganism is gram-positive cocci in grapelike clusters.Although the final culture has not come back yet,which organism can you best assume is responsible?

• A)Staphylococcus aureus
• B)Streptococcus pneumoniae
• C)Enterococcus
• D)Bactococcus streptemia

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Definitions:

Narcissistic Personality Disorder

A mental disorder characterized by a long-term pattern of exaggerated self-importance, the need for excessive attention and admiration, and a lack of empathy for others.

Interpretation

In psychotherapy, the process of a therapist providing insight or understanding to a client regarding their thoughts, behaviors, or emotional experiences, often to uncover underlying issues.

Minimization

A defense mechanism or behavior that downplays the significance of an event or emotion, potentially as a form of denial or avoidance.

Lifestyle Analysis

Examination of an individual’s daily habits, patterns, and choices to assess their impact on mental and physical health.