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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.

Answer and Explanation

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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Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Checking the client’s temperature, blood sugar, and urine output could be important in certain situations, but in this case, it may not be the most immediate need. The client is wandering and crying, which suggests emotional distress rather than a physical health issue.

Choice B rationale

Arranging for the client to be transported for laboratory tests and an electrocardiogram (ECG) would be an overreaction in this situation. There’s no indication from the client’s behavior that they are experiencing a medical emergency.

Choice C rationale

Delegating care of the crying client to an unlicensed assistant is not the best choice. The client is likely experiencing emotional distress due to the traumatic event, and they would benefit from the care and attention of a trained professional.

Choice D rationale

Directing the client to the shelter’s nutrition center to obtain water and food is the best action in this situation. The client may be dehydrated or hungry, which could be contributing to their distress. Providing for these basic needs can help to calm the client and provide a sense of safety and stability.

A. Assist the residents in planning a campaign to remind drivers passing through the school zone to always wear seatbelts. B. Advise the residents to keep their porch lights on during the hours when children are walking to and from school. C. Encourage residents with older homes along the school route to have their homes inspected for high lead levels. D. Facilitate a discussion about the advantages of having designated safe houses located throughout the school neighborhood.

Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

While reminding drivers to wear seatbelts is important for overall road safety, it does not directly enhance the safety of children walking to and from school.

Choice B rationale

Advising residents to keep their porch lights on can improve visibility during hours of low light. However, this measure may not significantly enhance the safety of children walking to and from school during daylight hours.

Choice C rationale

Encouraging residents to have their homes inspected for high lead levels is important for overall community health, but it does not directly impact the safety of children walking to and from school.

Choice D rationale

Facilitating a discussion about the advantages of having designated safe houses located throughout the school neighborhood can significantly enhance the safety of children walking to and from school. Safe houses can provide a secure place for children to go if they feel threatened or in danger while walking to or from school.

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