Nokea
The emergency department (ED) nurse is triaging a client who is highly suspected of having inhalation anthrax. The nurse should plan to
- A. place a surgical mask on the client.
- B. place the client in a room with negative airflow with an anteroom.
- C. obtain a urine sample from the client.
- D. report the situation to the hospital administration.
Correct Answer: B
Rationale: Inhalation anthrax requires airborne precautions due to its high infectivity, necessitating a negative airflow room to prevent spread.
You may also like to solve these questions
The nurse has just completed a continuing education lecture regarding the human immunodeficiency virus (HIV). Which of the following statements by the nurse indicate correct understanding? Select all that apply.
- A. I will clean contaminated surfaces with soap and hot water.
- B. The goal of treatment is for the client's viral load to increase and CD4 cells to decrease.
- C. Pre-exposure prophylaxis (PREP) is available to those with risk factors for HIV.
- D. Vertical transmission (mother to fetus) may be reduced with the use of antiretrovirals.
- E. It is possible to spread the infection through contaminated water.
Correct Answer: C,D
Rationale: Pre-exposure prophylaxis (PrEP) is effective for high-risk individuals, and antiretrovirals reduce vertical transmission. HIV is not spread through water, and the treatment goal is to decrease viral load and increase CD4 cells.
Which of the following clients, receiving normal saline via IV infusion, is at the highest risk for bloodstream infections?
- A. A client who has a midline IV catheter in the left antecubital fossa.
- B. A client with a peripherally inserted central catheter (PICC) line in the right upper arm.
- C. A client with an implanted port in the right subclavian vein.
- D. A client who has a non-tunneled central line in the left internal jugular vein.
Correct Answer: D
Rationale: Non-tunneled central lines, such as those in the internal jugular vein, carry the highest risk of bloodstream infections due to their direct access to central circulation and external exposure.
The nurse is planning a staff development conference about infectious diseases. Which of the following information should the nurse include? Select all that apply.
- A. Ebola virus disease (EVD) requires contact and droplet precautions
- B. Early treatment with prescribed ciprofloxacin is essential in the inhalation of anthrax
- C. A client with inhalation of anthrax should be assigned to a room with monitored negative air pressure
- D. Bubonic plague is spread by infected bird droppings
- E. Bubonic plague produces a 'bull's eye' rash at the site of infection
Correct Answer: A,B,C
Rationale: EVD requires contact and droplet precautions, ciprofloxacin is essential for anthrax, and negative air pressure rooms are needed for inhalation anthrax. Bubonic plague is spread by fleas, not bird droppings, and does not produce a bull's eye rash.
The emergency department nurse is caring for a client exposed to inhalation anthrax. It would be essential for the nurse to take which action?
- A. Initiate continuous pulse oximetry
- B. Obtain a prescription for a chest radiograph
- C. Notify the public health department
- D. Prepare the client for a lumbar puncture
Correct Answer: C
Rationale: Inhalation anthrax is a reportable disease, and notifying the public health department is essential for containment and surveillance.
A nurse is caring for a client who is admitted to the hospital with suspected osteomyelitis. Which of the following laboratory tests should the nurse anticipate being ordered to aid in the diagnosis and monitoring of this condition?
- A. Erythrocyte sedimentation rate (ESR)
- B. Serum potassium levels
- C. Serum creatinine levels
- D. Prothrombin time (PT)
Correct Answer: A
Rationale: ESR is a marker of inflammation, commonly elevated in osteomyelitis, aiding in diagnosis and monitoring.