A community health nurse encounters a client who has a suspected bioterrorismrelated illness. Which of the following actions should the nurse take?
Report the client's condition to the Federal Bureau of Investigation.
Don personal protective equipment.
Disinfect contaminated areas of skin with isopropyl alcohol.
Move the client to a quarantine area.
The Correct Answer is B
The correct answer is Choice B because, don personal protective equipment. The nurse should protect herself first by putting on personal protective equipment to prevent contamination and further spread of the suspected bioterrorism agent.
Choice A is wrong because, report the client's condition to the Federal Bureau of Investigation, is incorrect as this is not the primary role of the nurse, and the client's condition should be reported to the local public health department. Choice C is wrong because, disinfect contaminated areas of skin with isopropyl alcohol, is incorrect as this is not a recommended treatment for bioterrorism-related illnesses, and the nurse should avoid touching the client or any contaminated items. Choice D is wrong because, move the client to a quarantine area, is incorrect as the nurse should not move the client, but instead limit contact with the client and follow established infection control protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A because, the test measures serum levels of HIV antibodies. Enzyme-linked immunosorbent assay (ELISA) testing is a screening test for HIV infection, which measures the presence of HIV antibodies in the blood.
Choice B is wrong because, the test monitors the progression of HIV, is incorrect as the ELISA test only indicates the presence of HIV antibodies in the blood, and does not monitor the progression of HIV. Choice C is wrong because, the test results are accurate 24 hr after HIV exposure, is incorrect as it takes at least 2-4 weeks for HIV antibodies to develop in the blood after exposure to the virus. Choice D is wrong because, a positive result indicates initiation of immunoglobulin administration, is incorrect as there is no treatment for HIV with immunoglobulin.
Correct Answer is D
Explanation
The correct answer is Choice D because "Explore possible solutions with the partner." When a hospice nurse is concerned that the partner of a client is experiencing caregiver burden, the first step is to explore possible solutions with the partner. This involves assessing the partner's needs, concerns, and limitations, and working collaboratively to develop a plan of care that meets the needs of both the client and the partner. This may involve arranging for additional support, such as respite care or home health services, or modifying the care plan to make it more manageable for the partner.
Choice A is wrong because Suggesting assistive personnel visits daily to provide client care (Choice A is wrong because) may provide additional support, but it does not address the partner's caregiver burden.
Choice B is wrong because Teaching the partner about getting enough rest (Choice B is wrong because) may be helpful, but it does not address the underlying caregiver burden and may be perceived as dismissive of the partner's concerns.
Choice C is wrong because Encouraging the partner to invite family members to assist with client care (Choice C is wrong because) may provide additional support, but it assumes that the partner has family members who are available and willing to assist and does not address the underlying caregiver burden.
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