Nokea
An emergency department (ED) nurse just received a client exposed to inhalation anthrax. The nurse should anticipate that the ED health care provider (HCP) will prescribe which medication?
- A. Acyclovir
- B. Zidovudine
- C. Ciprofloxacin
- D. Oseltamivir
Correct Answer: C
Rationale: Ciprofloxacin is the recommended antibiotic for inhalation anthrax due to its efficacy against Bacillus anthracis.
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The nurse is providing discharge instructions to a client with Clostridium difficile. Which of the following instructions should the nurse include?
- A. Your family will need prophylactic antibiotics for two weeks.
- B. Disinfect your countertops and other surfaces with isopropyl alcohol.
- C. Wear a disposable surgical mask when you are out in public.
- D. If possible, use chlorine bleach when laundering underwear.
Correct Answer: D
Rationale: Chlorine bleach is effective in killing Clostridium difficile spores during laundering, which is critical for preventing reinfection and spread.
A client is admitted to the hospital with suspected osteomyelitis in the right foot. Which of the following nursing interventions should be the priority for this client?
- A. Administering analgesics as needed for pain relief
- B. Applying ice packs to the affected foot
- C. Initiating intravenous antibiotic therapy as prescribed
- D. Assisting with range of motion exercises for the unaffected limbs
Correct Answer: C
Rationale: Intravenous antibiotics are the priority in osteomyelitis to address the underlying infection and prevent further bone damage.
The following scenario applies to the next 1 items
The nurse in the emergency department is caring for a 19-year-old male client.
Item 1 of 1
Nurses' Note
Vital Signs
Client reports right elbow pain and swelling for three days. The client says that he scraped his elbow while rollerblading, and it has become painful and swollen for the past two days. He reports waking up with a fever of 101.3°F (38.5°C) and feeling lightheaded. On assessment, the client appeared lethargic and pale. The client has a full range of motion in the elbow but reports pain with movement. The client reports pain of '7' on a scale from 0-10. The elbow has erythema with a large red bump, swollen and hot to the touch. Clear lung fields bilaterally. S1/S2 heart tones. Normoactive bowel sounds. Denies nausea. History of asthma and seasonal
Allergies.
The nurse reports the assessment findings and vital signs to the primary healthcare provider (PHCP). Click to specify if the potential prescription is anticipated or contraindicated for this client.
- A. Obtain peripheral vascular access
- B. Administer albuterol via nebulizer
- C. Collect blood cultures
- D. Infuse hypertonic saline at 30 mL/kg
- E. Administer broad-spectrum antibiotics
- F. Collect serum lactic acid
Correct Answer: A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Anticipated, F: Anticipated
Rationale: A: Peripheral access is needed for diagnostics and treatment. B: Albuterol is not indicated without respiratory symptoms. C: Blood cultures identify the infection source. D: Hypertonic saline is inappropriate for this case. E: Broad-spectrum antibiotics treat suspected infection. F: Serum lactic acid assesses for sepsis.
The nurse is assessing a client for bacterial meningitis. Which of the following assessments should the nurse perform? Select all that apply.
- A. Oral temperature
- B. Patellar reflexes
- C. Weber and Rinne tests
- D. Glasgow Coma Scale
- E. Orthostatic blood pressure
Correct Answer: A,D
Rationale: Oral temperature assesses for fever, a key symptom of meningitis, and the Glasgow Coma Scale evaluates neurological status, critical for detecting meningitis-related changes.
The nurse is triaging a client who reports recent international travel. The primary healthcare provider (PHCP) suspects the client may have severe acute respiratory syndrome (SARS). The nurse should initially
- A. place the client on contact and airborne precautions.
- B. obtain blood, urine, and sputum for culture.
- C. prepare the client for a chest radiograph (x-ray).
- D. infuse 0.9 saline at 100mL/hr.
Correct Answer: A
Rationale: SARS requires contact and airborne precautions to prevent transmission due to its respiratory spread.