Nokea
The nurse in the emergency department (ED) is triaging a client who reports recent international travel to West Africa and has signs and symptoms of conjunctival injection, fever, rash, vomiting, and blood in their stool. The nurse is concerned that this client may have?
- A. pulmonary tuberculosis.
- B. encephalitis.
- C. Ebola virus disease.
- D. inhalation anthrax.
Correct Answer: C
Rationale: Ebola virus disease is associated with recent travel to West Africa and symptoms like fever, rash, vomiting, and hemorrhagic signs such as bloody stools.
You may also like to solve these questions
The local community health nurse is teaching a course to nursing students on anthrax. It would be correct for the nurse to inform the students that anthrax is spread by? Select all that apply.
- A. mosquito bites.
- B. breathing in bacterial spores.
- C. sexual contact with an infected individual.
- D. ingestion of contaminated animal products.
- E. through an open wound or scratch on the skin.
Correct Answer: B,D,E
Rationale: Anthrax is spread by inhaling spores, ingesting contaminated animal products, or through cutaneous exposure via open wounds.
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 nurse has attended a staff education program about indwelling urinary catheter-associated infections (CAUTI). Which nursing intervention is most effective in preventing a CAUTI in hospitalized clients?
- A. Implementing strict sterile technique during catheter insertion and maintenance.
- B. Using antibacterial indwelling urinary catheters for all clients requiring urinary catheterization.
- C. Limiting the duration of indwelling urinary catheter use and promptly removing them when no longer needed
- D. Administering prophylactic antibiotics to all clients with indwelling urinary catheters in place.
Correct Answer: C
Rationale: Limiting catheter duration is the most effective way to prevent CAUTI, as prolonged use increases infection risk.
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.
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.