Please Read the Clinical Scenario, and Then Answer the Question

question 38

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
A 12-year-old male is admitted to the pediatric unit due to persistent upper respiratory symptoms and respiratory distress. The patient has a history of developmental delay, chronic lung disease, and frequent respiratory infections. Upon assessment, as the RN, you note the patient to have a fever, moderate respiratory rate, productive cough, and large amount of nasal secretions. Upon report from the patient’s mother, the patient has been on a 3-week course of antibiotics with no improvement in symptoms. Upon further workup, the patient is diagnosed with bacterial pneumonia and methicillin-resistant Staphylococcus aureus (MRSA) superinfection.
-Based upon the patient's history,what is the most likely cause of the superinfection?

• A)poor hygiene
• B)long-term antibiotic therapy
• C)fecal-oral contamination
• D)community-acquired MRSA

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Definitions:

Gender Differences

The disparities in characteristics, behaviors, roles, and psychological traits commonly associated with males and females.

Helping Behavior

Refers to voluntary actions intended to help others, with little or no benefit to oneself.

Uphold Reputation

The act of maintaining a good standing or image in the eyes of others, often through ethical behavior and performance.

Egoistic Motivation

A drive to act based on the impact of the action on one's self-interest, often disregarding others' needs or societal norms.