A patient is admitted to the emergency department with symptoms resembling the flu. What information should the nurse gather to rule out exposure to anthrax spores?
Determine the patient’s occupation.
Identify the patient’s personal contacts over the past week.
Obtain a twenty-four-hour diet history.
Inquire about previous vaccination for smallpox.
The Correct Answer is A
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Anthrax is a serious disease caused by Bacillus anthracis, a bacterium that forms spores. Certain occupations, such as those involving livestock or animal products, may increase the risk of exposure to anthrax spores.
Choice B rationale
While it’s important to identify personal contacts in the case of some infectious diseases, anthrax is not spread from person to person. Therefore, identifying personal contacts over the past week would not necessarily help to rule out exposure to anthrax spores.
Choice C rationale
A twenty-four-hour diet history would not typically be useful in ruling out exposure to anthrax spores. Anthrax is not usually spread through food or water.
Choice D rationale
Inquiring about previous vaccination for smallpox would not help to rule out exposure to anthrax spores. Smallpox and anthrax are caused by different organisms, and the smallpox vaccine does not provide protection against anthrax.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation The correct answer is D. Choice A rationale
While informing citizens about the importance of immunization is a good step, it may not be the most effective initial action. It’s important to first understand the extent of the problem and the specific areas where immunization rates are low.
Choice B rationale
Partnering with a local hospital to set up free immunization clinics is a great initiative. However, without first understanding the specific areas of low immunization and the reasons behind it, this effort might not be targeted effectively.
Choice C rationale
Joining a political action group could help bring attention to the issue, but it might not directly address the problem. The nurse first needs to understand the current situation and the areas of the city where the immunization rates are particularly low.
Choice D rationale
Reviewing current epidemiological population data would provide the nurse with a clear picture of the immunization rates in different sections of the city. This should be the initial step as it would guide subsequent actions, such as setting up immunization clinics in areas where they are most needed.
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
Delineating the geographic distribution of the area to survey and review for patterns could provide useful information about the spread of influenza in the community, but it would not directly provide data about vaccination rates or reasons for any decline.
Choice B rationale
Asking a set number of clients if they have had the flu could provide anecdotal information about the prevalence of the flu, but it would not provide comprehensive data about vaccination rates or reasons for any decline.
Choice C rationale
Generating influenza immunization and case reports from the electronic record would provide direct data about the number of people who have been vaccinated and the number of influenza cases. This information could be used to identify trends and understand reasons for any decline in vaccination rates.
Choice D rationale
Determining the change in immunization rates from the previous year to the current year would provide information about trends in vaccination rates, but it would not provide comprehensive data about the number of influenza cases or reasons for any decline.
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