Nokea
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.
You may also like to solve these questions
The nurse is evaluating a client three days post-operative for signs and symptoms of infection. Which of the following is not a sign of infection from a surgical wound?
- A. Pus and clear drainage from the site
- B. Some redness along the edges of the site
- C. Increasing warmth from the wound
- D. Red streaks from the site
Correct Answer: B
Rationale: Some redness along the edges of a surgical wound is a normal part of the healing process, whereas pus, increasing warmth, and red streaks indicate infection.
The following scenario applies to the next 1 items
The nurse is caring for a client with human immunodeficiency virus (HIV)
Item 1 of 1
Nurses Note
Medications
23-year-old client following up after initiating antiretrovirals for newly diagnosed HIV infection. The client reports nausea and vomiting if he does not take the medication with meals. He recently joined a support group to help with his coping. His laboratory results are pending. The client reports full adherence to the prescribed medication-reinforced education on the medication, dosing, and side effects
The client should be taught that the overall treatment goal for HIV is to
- A. increase the CD4/CD8 count
- B. raise the level of folic acid
- C. increase production of hemoglobin
- D. lower the viral load (VL)
Correct Answer: A,D
Rationale: The primary goals of HIV treatment are to increase CD4 counts (improving immune function) and lower the viral load to undetectable levels to prevent disease progression.
The nurse is caring for a client with human immunodeficiency virus (HIV). Which of the following conditions, if present in the client, should make the nurse concerned about the client developing acquired immunodeficiency syndrome (AIDS)? Select all that apply.
- A. Chronic, progressive visual loss
- B. Kaposi's sarcoma
- C. Wilms sarcoma
- D. Pulmonary tuberculosis
- E. Peripheral neuropathy
- F. Toxoplasma gondii
Correct Answer: B,D,F
Rationale: Kaposi's sarcoma, pulmonary tuberculosis, and Toxoplasma gondii are AIDS-defining conditions indicating progression to AIDS.
The nurse is providing discharge instructions to a client with hepatitis A. Which of the following instructions should the nurse include?
- A. You will need to take daily showers or baths with chlorhexidine.
- B. It is important to clean common surfaces with warm soapy water.
- C. You will need to have repeat stool testing to determine if you are still infectious.
- D. Check with your primary healthcare provider prior to taking any medications.
Correct Answer: D
Rationale: Clients with hepatitis A should consult their healthcare provider before taking medications due to potential liver toxicity risks.
The nurse is educating a client who has been prescribed acyclovir for newly diagnosed shingles. Which information would be the most important for the nurse to include?
- A. Take this medication 30 minutes before meals
- B. Continue taking this medication until the rash resolves
- C. If a dose is missed, take it with the next scheduled dose
- D. Increase fluid intake while taking this medication
Correct Answer: D
Rationale: Increasing fluid intake helps prevent nephrotoxicity, a potential side effect of acyclovir, which can affect kidney function, especially in patients with shingles who may be dehydrated.