A public health nurse is developing a protocol for the treatment of inhalation anthrax in the event of widespread public exposure. Which of the following pieces of information should the nurse plan to include?
The anthrax vaccine is ineffective following direct anthrax exposure.
Manifestations of anthrax infection appear within 3 days of exposure.
Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax.
Ciprofloxacin should be administered to asymptomatic clients who were directly exposed to anthrax.
The Correct Answer is D
Choice A reason: The anthrax vaccine is ineffective following direct anthrax exposure is not a correct piece of information to include in the protocol. The anthrax vaccine can provide some protection against anthrax if given before exposure, but it cannot prevent or treat anthrax infection after exposure¹.
Choice B reason: Manifestations of anthrax infection appear within 3 days of exposure is not a correct piece of information to include in the protocol. The incubation period of anthrax varies depending on the route of exposure, but it can range from one day to several weeks. Inhalation anthrax usually has an incubation period of one to six days, but it can be longer².
Choice C reason: Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax is not a correct piece of information to include in the protocol. Prophylactic treatment, or post-exposure prophylaxis (PEP), is the use of antibiotics to prevent anthrax infection in people who have been exposed to anthrax spores but do not have symptoms. PEP should be given for at least 60 days, or until the person receives three doses of the anthrax vaccine³.
Choice D reason: Ciprofloxacin should be administered to asymptomatic clients who were directly exposed to anthrax is a correct piece of information to include in the protocol. Ciprofloxacin is one of the antibiotics recommended by the CDC for PEP of anthrax. It can prevent anthrax infection in people who have inhaled anthrax spores but do not have symptoms. Ciprofloxacin should be given as soon as possible after exposure and continued for 60 days, or until the person receives three doses of the anthrax vaccine..
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Using third person can make the content less personal and engaging. Health literacy involves clear communication that resonates with the audience, which often means using a more direct and personal approach.
Choice B reason: Focusing solely on medical facts may not meet health literacy needs if the information does not translate into actionable behaviors for the audience. It's important to connect facts with actions people can take.
Choice C reason: Ensuring content is written at an 8th-grade reading level is a recognized standard for health literacy. It makes the information accessible to a wider audience, including those with varying levels of education.
Choice D reason: While using a 16-point font may improve readability, especially for those with visual impairments, it does not address the complexity of the language or the content's relevance to the audience's needs.
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Recommending a seating arrangement for a child in a body cast is not a primary prevention activity, but rather a tertiary prevention activity. Tertiary prevention aims to reduce the impact of a disability or chronic condition and improve the quality of life of the affected individual¹.
Choice B reason: Lobbying for funding for health promotion efforts is a primary prevention activity, as it can help support the implementation of programs and policies that prevent diseases and injuries before they occur².
Choice C reason: Creating a plan of care for children who have a diagnosis of diabetes mellitus is not a primary prevention activity, but rather a secondary prevention activity. Secondary prevention aims to detect and treat diseases or injuries early to prevent complications and progression¹.
Choice D reason: Organizing a program to promote skateboard safety is a primary prevention activity, as it can help prevent injuries and accidents among children who engage in this recreational activity³.
Choice E reason: Teaching a class about the risks of cigarette smoking is a primary prevention activity, as it can help prevent the initiation of tobacco use and its associated health consequences among children and adolescentsā“.
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