A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure?

Anthrax

Sarin

Smallpox

Botulism

Answer and Explanation

The Correct Answer is C

A. Anthrax: This is incorrect. While a vaccine is available for anthrax, it is generally administered as a pre-exposure prophylaxis, not as a treatment following exposure.
B. Sarin: This is incorrect. Sarin is a nerve agent for which there is no vaccine. Treatment focuses on immediate decontamination and administration of antidotes like atropine.
C. Smallpox: This is correct. A vaccine for smallpox is administered following exposure as a post-exposure prophylaxis, as smallpox is a virus for which immediate vaccination can help prevent the disease.
D. Botulism: This is incorrect. Botulism is treated with antitoxin rather than a vaccine. There is no post-exposure vaccine available for botulism.

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Correct Answer is D

Explanation

A. Instruct the client to change clothing before arriving: This is incorrect. The client should be advised to keep the clothing they were wearing during the assault as evidence, not to change them.
B. Inform the client that photographs of any injuries will be mandatory for a police report: This is incorrect. While photographs might be necessary for evidence, it is not appropriate to make such statements without discussing consent and the client's comfort first.
C. Ask the client to repeat the information obtained during admission: This is incorrect. Repeating information may be distressing for the client. The nurse should obtain the history in a sensitive and supportive manner without unnecessary repetition.
D. Obtain a history of the incident from the client: This is correct. Gathering a detailed history is important for appropriate care and forensic evidence collection. The nurse should do this in a compassionate and nonjudgmental manner, ensuring the client feels supported.

A. Hemorrhage B. Pain C. Urinary retention D. Infection

Correct Answer is A

Explanation

A. Hemorrhage: This is the priority complication to monitor for in the immediate postoperative period after a transurethral resection of the prostate (TURP). Hemorrhage can lead to significant blood loss and requires prompt intervention.
B. Pain: While pain management is important, it is not the immediate priority compared to the risk of hemorrhage in the postoperative setting.
C. Urinary retention: Although important to monitor, urinary retention is a common postoperative issue but does not pose the same immediate risk as hemorrhage.
D. Infection: Infection is a concern but typically develops later in the postoperative period and is not as immediate a risk as hemorrhage.

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A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which postoperative complication is the priority for the nurse to monitor?

Correct Answer is A

Explanation

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