An organism that is included in the extended-spectrum beta-lactamase-producing pneumonia (ESBL) group is:
Enterococcus.
Escherichia coli.
Staphylococcus aureus.
Clostridium difficile.
The Correct Answer is B
Choice A rationale
Enterococcus species are not typically associated with extended-spectrum beta-lactamase (ESBL) production. These bacteria are more commonly known for their resistance to other classes of antibiotics, like vancomycin.
Choice B rationale
Escherichia coli (E. coli) is a common bacterium that can produce extended-spectrum beta-lactamases (ESBLs), which confer resistance to a wide range of beta-lactam antibiotics, including penicillins and cephalosporins.
Choice C rationale
Staphylococcus aureus is not part of the ESBL-producing group. It is more commonly associated with methicillin-resistant Staphylococcus aureus (MRSA) and is resistant to beta-lactam antibiotics through different mechanisms.
Choice D rationale
Clostridium difficile is not associated with ESBL production. It causes infections through the release of toxins that lead to severe gastrointestinal symptoms, rather than through beta-lactamase production.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Coxiella burnetii is the causative agent of Q fever, not Rocky Mountain spotted fever. This bacterium is transmitted through inhalation of contaminated aerosols from infected animals.
Choice B rationale
Rickettsia rickettsii is the causative agent of Rocky Mountain spotted fever. It is transmitted through the bite of infected ticks and causes symptoms like fever, headache, and a characteristic rash.
Choice C rationale
Aspergillus is a genus of fungi that causes aspergillosis, not Rocky Mountain spotted fever. Aspergillosis primarily affects the respiratory system and is not transmitted by tick bites.
Choice D rationale
Rickettsia prowazekii is the causative agent of epidemic typhus, not Rocky Mountain spotted fever. It is transmitted through the bite of infected body lice and causes symptoms like high fever, chills, and rash. .
Correct Answer is B
Explanation
Choice A rationale
Scabies is a parasitic skin infestation caused by mites. It spreads through direct skin-to-skin contact and does not require an N95 respirator. Standard precautions and contact isolation are usually sufficient.
Choice B rationale
Tuberculosis is an airborne infectious disease. An N95 respirator mask is necessary to protect against inhaling airborne droplets that may contain the bacteria, especially in healthcare settings.
Choice C rationale
Scarlet fever is a bacterial infection caused by group A Streptococcus. It spreads through respiratory droplets, but standard surgical masks are usually adequate. An N95 respirator is not required.
Choice D rationale
Mycoplasmal pneumonia is a type of bacterial pneumonia transmitted through respiratory droplets. While it can be contagious, an N95 respirator is generally not necessary unless in specific aerosol-generating procedures. Standard precautions are usually sufficient. .
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