A 2-week-old female presents with fever, productive cough, respiratory distress, and empyema. Which of the following is the most likely diagnosis the nurse will observe on the chart?
a. Viral pneumonia
b. Pneumococcal pneumonia
c. Staphylococcal pneumonia
d. Mycoplasma pneumonia
ANS: C
Staphylococcal and group A streptococcal pneumonia can be particularly fulminant (sudden, se-vere) and necrotizing (causing cell death) with a high incidence of accompanying empyema, pneumatocele, and sepsis. Staphylococcal pneumonia is the more likely diagnosis than viral. Staphylococcal pneumonia is more likely to cause empyema than either pneumococcal or Myco-plasma pneumonias.
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