Practice Question
A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The nurse knows that the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor. Which information relates most directly to the prognosis for gram-negative pneumonias?
Answer Choices:
Correct Answer:
Gram-negative organisms are more resistant to antibiotic therapy
Rationale:
🦠Gram-negative pneumonias are associated with higher mortality because the organisms have complex cell walls and resistance mechanisms.
🦠They produce endotoxins, making them harder to treat with standard antibiotics.
🦠Patients often require broad-spectrum or multiple antibiotic regimens for effective management.
🦠This resistance leads to prolonged illness and increased risk of sepsis and respiratory failure.
🦠Hence, prognosis is poorer compared to pneumococcal pneumonia.
Want to practice more questions like this?
This question is from RN Medical Surgical Exam 2025 which contains 55 questions.
More Questions from This Exam
Which assessment finding should the nurse expect in a client with fluid volume excess?
Answer Choices:
A. Flushed skin.
B. Elevated blood pressure.
C. Weak, thready pulse.
D. Dry mucous membranes.
A client is using an otic solution, hydrocortisone, neomycin, and polymyxin B for external otitis media. Which therapeutic response should the nurse tell the client to expect?
Answer Choices:
A. Slows the rate of organism growth
B. Decreases inflammation and pain
C. Reduces the existing colony count
D. Prevents hearing loss as a possible complication.
A female client with rheumatoid arthritis takes ibuprofen 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching?
Answer Choices:
A. Use contraception during intercourse
B. Ensure the Cytotec is taken on an empty stomach
C. Take Cytotec 30 minutes prior to Motrin
D. Encourage oral fluid intake to prevent constipation.
A client is prescribed controlled-release oxycodone. Which dosing schedule is best for the nurse to teach the client?
Answer Choices:
A. As needed.
B. Every 4 to 6 hours.
C. Every 24 hours.
D. Every 12 hours.
The nurse is performing an ophthalmoscopic examination on a hypertensive client. When assessing the client, which finding indicates the severity of hypertension?
Answer Choices:
A. Opague color of the sclera.
B. Transparency of the cornea.
C. Amount of retinal vessel damage that has occurred.
D. Constriction and dilatation of the pupils.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi MedSurg
- Answer Choices: 4