A client presents with symptoms of Ebola virus disease (EVD), and the nurse suspects exposure to the virus. What is the appropriate nursing action?
Send the client home with symptomatic relief medications.
Initiate contact tracing for 14 days.
Encourage the client to self-isolate for 24 hours.
Provide over-the-counter antiviral medication.
The Correct Answer is B
Choice A rationale:
Sending the client home with symptomatic relief medications is not appropriate for suspected Ebola virus disease (EVD) EVD is a serious and highly infectious disease that requires immediate isolation and contact tracing to prevent its spread.
Choice B rationale:
Initiating contact tracing for 14 days is the correct nursing action. Ebola is transmitted through direct contact with blood, body fluids, and tissues of infected animals or people. Identifying and monitoring individuals who may have been exposed is crucial to preventing further transmission.
Choice C rationale:
Encouraging the client to self-isolate for 24 hours is insufficient. Ebola has an incubation period of 2 to 21 days, during which the client may become symptomatic. Isolating for only 24 hours does not adequately address the potential for transmission.
Choice D rationale:
Providing over-the-counter antiviral medication is not an appropriate action for suspected EVD. There is no specific antiviral treatment for Ebola, and symptomatic management alone would not address the potential for spread.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
This statement is incorrect. Weakness and severe headache are symptoms commonly seen in the early stages of Ebola virus disease (EVD), not the later stages.
Choice B rationale:
This statement is appropriate. Since the client is in the early stages of EVD and presents with symptoms like weakness and severe headache, the nurse's response acknowledges the possibility of these symptoms being related to a common cold but still highlights the need for further evaluation due to the potential severity of EVD.
Choice C rationale:
This statement is irrelevant and does not address the client's current symptoms or concerns.
Choice D rationale:
This statement is incorrect. Joint and muscle pain are indeed associated with EVD and can be significant symptoms.
Correct Answer is ["A","B","E"]
Explanation
E.
Choice A rationale:
Administering oxygen and mechanical ventilation is essential as EVD can cause respiratory distress and failure.
Choice B rationale:
Providing psychological support and counseling is important due to the emotional stress and fear associated with EVD.
Choice C rationale:
Performing blood transfusions and clotting factor administration are not typical interventions for EVD. It primarily affects the immune system and does not usually lead to widespread coagulation issues.
Choice D rationale:
Applying warm compresses to reduce fever can worsen the patient's condition by promoting viral replication. Fever reduction in EVD is managed with antipyretics.
Choice E rationale:
Monitoring organ function regularly is crucial because EVD can lead to organ failure, particularly liver and kidney dysfunction.
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