Please Read the Clinical Scenario, and Then Answer the Question

question 54

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.
-The use of which of the following drugs results in the highest risk of superinfection in a treated patient?

• A)broad-spectrum antibiotics
• B)narrow-spectrum antibiotics
• C)topical antibiotics
• D)antivirals

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Definitions:

Electrocardiogram Monitor

A device used to record the electrical activity of the heart over a period of time, detecting cardiac abnormalities.

Palpitations

The sensation of having rapid, fluttering, or pounding heartbeats.

Chest Tube

A tube inserted through the chest wall to remove air, fluid, or pus from the pleural space.

Maintain Chest Tube Function

The practice of ensuring the proper operation and condition of a chest tube to drain air, blood, or fluids from the pleural space.