A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?

Choice A reason:

The statement “Treat clients with an antitoxin” is not the primary initial action for anthrax exposure. Antitoxins are used in cases of severe anthrax infection, particularly inhalational anthrax, to neutralize the toxins produced by Bacillus anthracis. However, the first line of treatment for suspected anthrax exposure is antibiotic therapy to eliminate the bacteria.

Choice B reason:

The statement “Administer antibiotic therapy” is correct. The primary treatment for anthrax exposure is the prompt administration of antibiotics. Ciprofloxacin and doxycycline are commonly used antibiotics for treating anthrax. Early antibiotic treatment is crucial to prevent the progression of the disease and reduce the risk of severe complications.

Choice C reason:

The statement “Initiate client decontamination” is not typically necessary for anthrax exposure. Anthrax spores are not easily spread from person to person, and decontamination is generally not required unless there is a significant risk of environmental contamination. The focus should be on administering antibiotics and monitoring the clients for symptoms.

Choice D reason:

The statement “Place the clients in isolation” is incorrect. Anthrax is not contagious and does not spread from person to person. Therefore, isolation is not required for individuals exposed to anthrax. The priority is to provide appropriate medical treatment and monitor for signs of infection.

Choice A reason:

The statement “Please do not raise your voice at the children. I am the one who left the dishes in the sink.” is an example of effective communication. It demonstrates taking responsibility for one’s actions and addressing the issue calmly and directly. This approach helps to de-escalate potential conflict and promotes a respectful and constructive dialogue among family members. Effective communication in family therapy involves clear, honest, and respectful exchanges that foster understanding and resolution of issues.

Choice B reason:

The statement “If you keep saying that, I will tell everyone what you did last night.” is an example of ineffective communication. It is threatening and manipulative, which can escalate conflict and create a hostile environment. Such statements undermine trust and respect among family members, making it difficult to resolve issues constructively. Effective communication should avoid threats and focus on expressing feelings and concerns in a non-confrontational manner.

Choice C reason:

The statement “Can you tell me the reason you get upset each time I go to the mall?” is a step towards effective communication as it seeks to understand the other person’s feelings. However, it could be improved by using “I” statements to express personal feelings and concerns. For example, “I feel concerned when you get upset each time I go to the mall. Can we talk about it?” This approach reduces defensiveness and encourages open dialogue.

Choice D reason:

The statement “She is always bossing me around. Should she do that?” is an example of ineffective communication. It is accusatory and does not address the issue constructively. Effective communication should focus on specific behaviors and how they affect the individual, rather than making general accusations. For example, “I feel frustrated when I am told what to do. Can we discuss how we can share responsibilities more fairly?” This approach promotes understanding and cooperation.