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?

Question

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?

Quizplus · Accepted Answer

Broad-spectrum antibiotics are more likely to kill off both pathogenic and non-pathogenic bacteria, disrupting the normal microbiota and leading to overgrowth of resistant organisms, including MRSA. This can result in a superinfection that is more difficult to treat than the initial infection. Narrow-spectrum antibiotics or topical antibiotics have a lower risk of causing superinfections. Antivirals are not related to bacterial superinfections.

Please Read the Clinical Scenario, and Then Answer the Question