Nokea
A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?
- A. Plan to administer an antiviral medication to the client.
- B. Place a surgical mask on the client during transfer to the unit.
- C. Prepare to administer antibiotics to the client.
- D. Wear an N95 respirator mask while caring for the client.
Correct Answer: C
Rationale: The correct answer is C: Prepare to administer antibiotics to the client. Cutaneous anthrax is caused by Bacillus anthracis bacteria, which can be effectively treated with antibiotics such as ciprofloxacin or doxycycline. Administering antibiotics promptly can prevent the progression of the infection.
A: Antiviral medications are used to treat viral infections, not bacterial infections like anthrax.
B: Placing a surgical mask on the client is not necessary for cutaneous anthrax, as it is not transmitted through respiratory droplets.
D: While wearing an N95 respirator mask is important for respiratory precautions in certain infectious diseases, it is not specifically required for cutaneous anthrax transmission.
In summary, administering antibiotics is the most appropriate action to treat cutaneous anthrax, while the other options are not relevant for this specific situation.
You may also like to solve these questions
A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?
- A. A client who has a raised red skin rash on his arms, neck, and face
- B. A client who has active bleeding from a puncture wound of the left groin area
- C. A client who reports right-sided flank pain and is diaphoretic
- D. A client who reports shortness of breath and left neck and shoulder pain
Correct Answer: B
Rationale: The correct answer is B, a client with active bleeding from a puncture wound of the left groin area. This is the highest priority because active bleeding can lead to severe blood loss, shock, and death if not controlled promptly. Immediate intervention is needed to stop the bleeding, assess for further injuries, and ensure the client's stability. Choices A, C, and D describe concerning symptoms that require attention but do not pose immediate life-threatening risks like uncontrolled bleeding. Therefore, they are of lower priority. It is crucial for the nurse to prioritize clients based on the severity and urgency of their conditions to provide timely and appropriate care.
A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?
- A. The client's preferred time for bathing
- B. The belief that the client has a difficult relationship with his son
- C. The time the client received his last dose of pain medication
- D. The steps to follow when providing wound care
Correct Answer: C
Rationale: The correct answer is C: The time the client received his last dose of pain medication. This information is crucial for ensuring continuity of care and preventing medication errors. It helps the rehabilitation facility staff know when the next dose is due and if any additional pain relief is needed.
A: The client's preferred time for bathing is important for comfort but not as critical as pain medication timing in a transfer report.
B: The belief about the client's relationship with his son is not relevant to the client's immediate care needs during transfer.
D: The steps for wound care are important but should be included in a separate document or care plan, not necessarily in a brief change-of-shift report.
The family members of an older adult client are expressing conflict over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney for health care for the client. The client is oriented to person, place, and time. Which of the following people has the legal authority to make this health care decision?
- A. The client
- B. The partner
- C. The provider
- D. The oldest adult child
Correct Answer: A
Rationale: A mentally competent client retains legal authority to make healthcare decisions, despite a durable power of attorney, which only applies when the client is incapacitated.
A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in wound care procedure. Which of the following findings indicates wound healing?
- A. Erythema on the skin surrounding a client's wound
- B. Deep red color on the center of a client's wound
- C. Increase in serosanguineous exudate from a client's wound
- D. Inflammation noted on the tissue edges of a client's wound
Correct Answer: B
Rationale: The correct answer is B: Deep red color on the center of a client's wound. This finding indicates wound healing as it suggests the formation of granulation tissue, which is essential for the wound healing process. Granulation tissue is rich in blood vessels and appears deep red in color. This indicates that the wound is in the proliferative phase of healing.
Choice A - Erythema on the skin surrounding a client's wound - Erythema typically indicates inflammation and is not a clear sign of wound healing.
Choice C - Increase in serosanguineous exudate from a client's wound - Increased exudate may indicate inflammation or infection, not necessarily healing.
Choice D - Inflammation noted on the tissue edges of a client's wound - Inflammation suggests the wound is still in the inflammatory phase of healing, not the proliferative phase where granulation tissue forms.
A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?
- A. Withhold the benzodiazepine but continue the opioid.
- B. Administer the benzodiazepine but withhold the opioid.
- C. Continue the medication dosages that relieve the client's pain.
- D. Contact the provider about replacing the opioid with an NSAID.
Correct Answer: A
Rationale: The correct answer is A: Withhold the benzodiazepine but continue the opioid. Benzodiazepines can potentiate the sedative effects of opioids, leading to increased somnolence and difficulty arousing the client. By withholding the benzodiazepine, the nurse can help decrease the sedative effects, allowing the client to become more responsive while still receiving pain relief from the opioid. Continuing the opioid ensures that the client's pain is adequately managed. Administering the benzodiazepine alone (choice B) may exacerbate the sedative effects. Continuing the medication dosages (choice C) without adjusting the benzodiazepine dose may not address the sedation issue. Contacting the provider about replacing the opioid with an NSAID (choice D) is not indicated as opioids are typically the mainstay for managing severe pain in terminal illness.