Nokea
A patient who has been exposed to anthrax is being treated in the local hospital. The nurse should prioritize what health assessments?
- A. Integumentary assessment
- B. Assessment for signs of hemorrhage
- C. Neurologic assessment
- D. Assessment of respiratory status
Correct Answer: D
Rationale: Inhalation anthrax progresses to severe respiratory distress, including stridor and hypoxia, making respiratory assessment critical. Other systems are less acutely affected.
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The emergency response team is dealing with a radiation leak at the hospital. What action should be performed to prevent the spread of the contaminants?
- A. Floors must be scrubbed with undiluted bleach.
- B. Waste must be promptly incinerated.
- C. The ventilation system should be deactivated.
- D. Air ducts and vents should be sealed.
Correct Answer: D
Rationale: Sealing air ducts and vents prevents radiation spread through ventilation. Bleach, incineration, or ventilation deactivation are less effective.
A man survived a workplace accident that claimed the lives of many of his colleagues several months ago. The man has recently sought care for the treatment of depression. How should the nurse best understand the mans current mental health problem?
- A. The man is experiencing a common response following a disaster.
- B. The man fails to appreciate the fact that he survived the disaster.
- C. The man most likely feels guilty about his actions during the disaster.
- D. The mans depression most likely predated the disaster.
Correct Answer: A
Rationale: Depression is a frequent post-disaster response due to trauma. Assumptions about guilt, lack of appreciation, or pre-existing depression are not supported.
A nurse takes a shift report and finds he is caring for a patient who has been exposed to anthrax by inhalation. What precautions does the nurse know must be put in place when providing care for this patient?
- A. Standard precautions
- B. Airborne precautions
- C. Droplet precautions
- D. Contact precautions
Correct Answer: A
Rationale: Anthrax is not transmissible person-to-person, so standard precautions suffice. Additional precautions like airborne or contact are unnecessary.
A patient has been admitted to the medical unit with signs and symptoms that are suggestive of an anthrax infection. The nurse should anticipate what intervention?
- A. Administration of acyclovir
- B. Hematopoietic stem cell transplantation (HSCT)
- C. Administration of penicillin
- D. Hemodialysis
Correct Answer: C
Rationale: Penicillin is the primary treatment for anthrax, a bacterial infection. Acyclovir, HSCT, and dialysis are not indicated.
The nurse is preparing to admit patients who have been the victim of a blast injury. The nurse should expect to treat a large number of patients who have experienced what type of symptom?
- A. Chemical burns
- B. Spinal cord injury
- C. Meningeal tears
- D. Tympanic membrane rupture
Correct Answer: D
Rationale: Blast injuries commonly cause tympanic membrane rupture due to pressure wave sensitivity. Other injuries are less frequent.