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Please Read the Clinical Scenario, and Then Answer the Question

question 55

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Amanda is a 20-year-old college student who lives on campus. Her roommate brought her into your emergency room, because Amanda is not acting like herself. She was previously healthy, very involved in campus politics, and a 4.0 student. About 2 weeks ago, she started not feeling well. She had bad nasal congestion, and was diagnosed with a sinus infection. However, she decided against taking antibiotics because she did not believe they were good for her. She started getting very high fevers, which Amanda told her roommate were good because they were killing the infection. Yesterday, she started complaining of a stiff neck, and today she seems especially lethargic with a fever of 105. Her roommate was scared, so she forced her into her car and has driven her to your ICU.
-A lumbar puncture is performed,which confirms a diagnosis of meningitis.Antibiotics are started right away.Amanda's cerebral spinal fluid is placed on a microscope slide and Gram-stained.On stain,you see gram-positive cocci in pairs.What is the most likely offending organism?

Definitions:

Depressive Symptoms

Signs and symptoms associated with depression, including persistent sadness, loss of interest in activities, and changes in appetite or sleep.

ECT

Electroconvulsive Therapy, a psychiatric treatment in which seizures are electrically induced in patients to provide relief from severe mental disorders.

Muscle Relaxants

Medications used to relieve muscle spasms and discomfort.

Oxygen

A chemical element vital to most forms of life on Earth, necessary for respiration and energy production in cells.