A hospital nurse is participating in a drill during which many "clients" with inhalation anthrax are being admitted. The nurse would anticipate administering the following EXCEPT?
- A. Vancomycin
- B. Ciprofloxacin
- C. Doxycycline
- D. Ethambutol
Correct Answer: D
Rationale: The correct answer is D: Ethambutol. Ethambutol is not used in the treatment of inhalation anthrax. The treatment of choice for inhalation anthrax is a combination of antibiotics such as ciprofloxacin, doxycycline, and sometimes vancomycin. Ethambutol is primarily used in the treatment of tuberculosis, not anthrax. It is important for the nurse to be knowledgeable about the appropriate medications for specific conditions to provide effective care.
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The human vocal cords are located in the
- A. glottis.
- B. pharynx.
- C. larynx
- D. Trachea
Correct Answer: C
Rationale: The correct answer is C: larynx. The vocal cords are located in the larynx, specifically in the upper part known as the glottis. The glottis is a space within the larynx where the vocal cords are situated. The pharynx (B) is the passageway for both food and air, the trachea (D) is the windpipe connecting the larynx to the lungs. The vocal cords are responsible for producing sound by vibrating as air passes through them, and this process occurs in the larynx. Therefore, the correct answer is C: larynx.
Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of impaired gas exchange based on which finding?
- A. SpO of 86%
- B. Crackles in both lower lobes
- C. Temperature of 101.4ºF (38.6ºC)
- D. Production of greenish purulent sputum
Correct Answer: A
Rationale: Impaired gas exchange is indicated by a low SpO2 level, in this case 86%, which suggests inadequate oxygenation. Crackles, temperature, and sputum production are important assessments but do not directly indicate impaired gas exchange.
Tachypnoea means
- A. Rapid shallow breathing
- B. Rapid deep breathing
- C. Slow and shallow breathing
- D. Slow and deep breathing
Correct Answer: A
Rationale: The correct answer is A: Rapid shallow breathing. Tachypnoea refers to an increased respiratory rate, which can lead to shallow breathing. Rapid breathing helps to compensate for inadequate oxygen levels. Choice B is incorrect because tachypnoea is not typically associated with deep breathing. Choices C and D are incorrect as they describe slow breathing patterns, which are opposite to tachypnoea.
In medical term shortness of breathing known as
- A. SOB
- B. dyspnea
- C. Both a and b
- D. non of these
Correct Answer: C
Rationale: The correct answer is C: Both A and B. "SOB" is the abbreviation for shortness of breath, while "dyspnea" is the medical term for difficulty breathing. Both terms are used interchangeably to describe the sensation of breathing difficulty. Choosing C is correct because it encompasses both terms that are synonymous with the medical condition. Option D is incorrect because there are appropriate terms for shortness of breathing, which are provided in options A and B. Option A is incorrect because it only provides the abbreviation for the term without the actual medical term. Option B is incorrect because it only provides one of the terms used to describe shortness of breathing, while the correct answer includes both terms.
Which of the following processes does atmospheric pressure play a role in?
- A. pulmonary ventilation
- B. production of pulmonary surfactant
- C. resistance
- D. surface tension
Correct Answer: A
Rationale: The correct answer is A: pulmonary ventilation. Atmospheric pressure plays a crucial role in pulmonary ventilation by creating a pressure gradient that allows air to flow into and out of the lungs during inhalation and exhalation. When the atmospheric pressure is higher than the pressure inside the lungs, air moves in (inhalation); when the pressure inside the lungs is higher, air moves out (exhalation).
Summary of why the other choices are incorrect:
B: Production of pulmonary surfactant is not directly influenced by atmospheric pressure. Pulmonary surfactant reduces surface tension in the alveoli to prevent collapse.
C: Resistance in the respiratory system is mainly influenced by airway diameter and elasticity of the lungs, not atmospheric pressure.
D: Surface tension in the alveoli is affected by pulmonary surfactant, not atmospheric pressure.