SOLVED731

A 51-year-old retired female nurse is admitted to the hospital and diagnosed with sepsis secondary to cellulitis. The patient underwent a screening colonoscopy 3 days prior to admission. The following day she began experiencing swelling, erythema, and burning at the site of her IV for the procedure, so she presented to the emergency department. On admission, the patient is started on broad-spectrum antibiotics, and her condition steadily improves over the next 2 days. Initial blood cultures are positive for Escherichia coli. On day 3, the patient’s condition begins to deteriorate. Nursing noted that her new IV site also appears erythematous and indurated. The following day, the patient’s sister finds the treating team in the hallway and informs them that she had some suspicions, so she searched the patient’s bag and found a syringe filled with turbid liquid. Which of the following findings in the patient’s history will most likely improve her overall prognosis? A. History of sexual abuse and cutting as a teenager B. History of prior suicide attempts and tumultuous relationships C. Unremarkable psychiatric and social history D. History of psychotic symptoms
SCIENCE
HEALTH SCIENCE
NURSING

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