Nokea
Nurses are learning to administer the smallpox vaccine in the event of needed mass inoculation. When administering the vaccination, the nurse needs to be aware of which of the following?
- A. Administer the vaccination subcutaneously
- B. Prep the site with alcohol
- C. Aspirate when giving the injection
- D. Cover the site with a loose gauze
Correct Answer: D
Rationale: The nurse would cover the site with a loose gauze as the vaccination is a live virus. The injection is given in the deltoid intramuscularly. Alcohol should not be used to prepare the site as alcohol can inactivate the virus. The injection is given in a technique using a bifurcated needle and aspiration is not done.
You may also like to solve these questions
The nurse is evaluating a skin lesion on a client brought to the emergency department. The nurse notes characteristics of chickenpox but has the physician evaluate the lesion for which biologic disaster agent?
- A. Botulism
- B. Smallpox
- C. Rubella
- D. Anthrax
Correct Answer: B
Rationale: Smallpox may be mistaken for chickenpox due to the characteristics of the lesions. Botulism is a neurological toxin. Rubella is a communicable disease. Anthrax is a spore-forming bacterium that is inhaled or injected.
The nurse is caring for a client affected by a nerve agent. The nurse quickly gives a tutorial on the neurotransmitters and nervous system affected. Which couplet is most correct?
- A. Acetylcholine, parasympathetic nervous system
- B. Serotonin, sympathetic nervous system
- C. Norepinephrine, sympathetic nervous system
- D. Dopamine, parasympathetic nervous system
Correct Answer: A
Rationale: Nerve agents cause fatal consequences by inhibiting acetyl cholinesterase. Acetyl cholinesterase is an enzyme that inactivates acetylcholine, a neurotransmitter of the parasympathetic nervous system. No other option is correct.
Which isolation category should the nurse use to guide care when caring for a client with anthrax?
- A. Standard precautions
- B. Droplet precautions
- C. Airborne precautions
- D. Contact precautions
Correct Answer: A
Rationale: Standard precautions, measures for reducing the risk of transmitting pathogens, are sufficient for caring for clients infected with anthrax. These precautions are for all patients being cared for in the hospital. Droplet, airborne, and contact precautions initiate additional measures beyond those for standard precautions.
The emergency department nurse is caring for clients involved in a chlorine exposure accident at a local chemical plant. The nurse is aware that permanent damage can occur to which body systems?
- A. Cardiac
- B. Respiratory
- C. Renal
- D. Hepatic
Correct Answer: B
Rationale: The consequences of exposure to chlorine and other respiratory toxins are related to the amount, route, and length of chemical exposure. Death occurs as fluid infiltrates the pulmonary air spaces and terminal bronchioles interfering with gas exchange. Following recovery from an acute event, victims may develop chronic bronchitis and emphysema.
The emergency department nurse is working triage during a disaster. Why should the nurse tag a victim after assessment in a disaster situation?
- A. To know the victim's name
- B. To record any client allergies
- C. Someone else does not duplicate the assessment
- D. To record pre-disaster medical history
Correct Answer: C
Rationale: The tag is an indication that the victim has been assessed by a nurse. This ensures that the nurse or another medical person does not spend time assessing the same person twice. The tag does not contain information such as allergies or pre-disaster medical history; the person's name may not be readily available in a disaster.