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A 78-Year-Old Male Presents to the Emergency Department Reporting a 2-Day

Question 9

Multiple Choice

A 78-year-old male presents to the emergency department reporting a 2-day history of difficulty breathing, cough, and chest pain. Upon triage assessment, the patient is found to have a fever, rapid rate of breathing, low oxygen saturation, and crackles upon auscultation of the lungs. A chest X-ray reveals consolidation in the right upper lung field. The patient is diagnosed with pneumonia, initiated on oxygen therapy, and admitted for observation and treatment.
-The patient's sputum culture returns a positive result for Streptococcus pneumoniae.As the RN,you are aware this capsule-forming bacterium possesses virulence factors to make it difficult to treat.In providing education to the patient regarding the disease process,which of the following statements is most appropriate?  


A) "Fluid is building up in your lungs because of the body's persistent inflammatory response to the microbe."
B) "This bacterium secretes toxins that directly damage your lungs."
C) "Fragments of this bacterium's cell wall directly harm your lungs."
D) "Fluid is building up in your lungs because white blood cells are effectively lysing the encapsulated bacteria."

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