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
Shaking linen when removing it from the bed is incorrect as it can spread microorganisms into the air and contaminate the environment and other surfaces.
Choice B rationale
Turning faucets on and off using a paper towel is correct because it prevents recontaminating the hands after washing, maintaining hand hygiene.
Choice C rationale
Freely taking items in and out of the isolation room is incorrect as it can lead to cross-contamination and spread infections outside the isolation area.
Choice D rationale
Considering items dropped on the floor as usable is incorrect as items on the floor can become contaminated and pose a risk of infection if reused.
Correct Answer is C
Explanation
Choice A rationale
Requesting a Foley catheter for an older adult patient increases the risk of catheter-associated urinary tract infections (CAUTIs). Avoiding unnecessary catheterization is a better approach to prevent infections.
Choice B rationale
Offering a urinal every 2 hours may not significantly reduce the risk of urinary infections. While it encourages regular voiding, it does not address the need to keep urine dilute to prevent infections.
Choice C rationale
Encouraging fluid intake helps keep urine dilute, which reduces the risk of urinary tract infections. Adequate hydration flushes out bacteria and helps maintain a healthy urinary system.
Choice D rationale
While apple juice can help acidify urine, it is not the primary strategy for preventing urinary infections. Maintaining overall hydration with water is more effective in keeping the urine dilute and reducing infection risk.
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