Mary Jones admitted to the hospital with a chronic indwelling foley which was inserted by her urologist at 0900 of the same day. Urinalysis and culture were sent to the laboratory on the day of admission, patient exhibit fever 102.4 and antibiotic therapy initiated. Patient has extremely high WBC. What is this infection classified as?
Nosocomial
Community acquired
Acute infection
No Infection
The Correct Answer is A
A. A nosocomial infection is one that is acquired in a healthcare setting, such as a hospital. Given that Mary Jones had a Foley catheter inserted on the day of admission and developed symptoms of infection shortly thereafter, this indicates that the infection is likely related to her hospital stay.
B. Community-acquired infections occur outside of healthcare settings, so this does not apply since the infection arose after her hospital admission.
C. While the patient has an acute infection, the classification is more specifically defined by its origin (nosocomial in this case).
D. Since the patient is showing signs of infection (fever and high WBC), it is incorrect to say there is no infection.
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Related Questions
Correct Answer is D
Explanation
A. The fecal-oral route is associated with gastrointestinal viruses, not respiratory infections like influenza.
B. While influenza can spread through airborne transmission, it primarily spreads via respiratory droplets, which are larger and do not remain suspended in the air for long distances.
C. Direct contact can also transmit the virus, but it is less common compared to the droplet route.
D. Respiratory droplets are the primary mode of transmission for influenza, occurring when an infected person coughs or sneezes, releasing droplets that can be inhaled by others nearby.
Correct Answer is D
Explanation
A. While HIV affects a range of immune cells, it specifically targets certain types.
B. CD4 cells include T helper cells, but stating only CD4 cells oversimplifies the response.
C. T suppressor cells, while affected by HIV, are not the primary targets.
D. T helper cells, which express the CD4 surface marker, are the primary targets of HIV, leading to the characteristic immunosuppression seen in the infection.
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