A public health nurse is developing a protocol for treatment of inhalation anthrax in the event of widespread public exposure. Which of the following information should the nurse plan to include?
The anthrax vaccine is ineffective following direct anthrax exposure.
Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax.
Ciprofloxacin should be administered for asymptomatic clients who were directly exposed to anthrax.
Manifestations of anthrax infection appear within 3 days of exposure.
The Correct Answer is C
A. The anthrax vaccine is ineffective following direct anthrax exposure.
Explanation: The anthrax vaccine is a preventive measure but is not considered a treatment for individuals who have already been directly exposed to anthrax. Post-exposure prophylaxis with antibiotics is the primary intervention in such cases.
B. Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax.
Explanation: The duration of prophylactic treatment may vary depending on the specific antibiotic used. While a 10-day course is common, the exact duration may be determined based on the specific antibiotic prescribed and updated recommendations from public health authorities.
C. Ciprofloxacin should be administered for asymptomatic clients who were directly exposed to anthrax.
Explanation: In the event of widespread public exposure to anthrax, prophylactic antibiotics such as ciprofloxacin are recommended for asymptomatic individuals who were directly exposed. Ciprofloxacin is one of the antibiotics effective against Bacillus anthracis, the bacterium that causes anthrax. Providing prompt prophylactic treatment can prevent the development of anthrax infection.
D. Manifestations of anthrax infection appear within 3 days of exposure.
Explanation: The incubation period for anthrax can vary, and symptoms may not appear within 3 days of exposure. The incubation period can range from days to weeks, and the onset of symptoms may depend on factors such as the dose of exposure and the strain of anthrax.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Refer the client to a diabetes mellitus support group.
Referring the client to a support group is a valuable step, but it may come later in the care plan. Understanding the client's individual needs and preferences, including dietary habits, should precede group referrals.
B. Identify the client's dietary preferences.
Explanation: Identifying the client's dietary preferences is the initial step in understanding their current eating habits and preferences. It allows the nurse to tailor education and nutritional recommendations to the client's individual needs and preferences. This information will be crucial in developing a personalized and sustainable plan for managing diabetes through dietary modifications.
C. Develop a nutritional program.
Developing a nutritional program is an important step, but it should be based on a comprehensive understanding of the client's preferences, lifestyle, and current dietary habits. Identifying preferences helps in creating a program that is realistic and tailored to the client's needs.
D. Teach the client about appropriate food choices.
Providing education about appropriate food choices is essential, but it is more effective when based on an understanding of the client's dietary preferences. Identifying preferences enhances the relevance and applicability of the education provided.
Correct Answer is B
Explanation
A. Provide education to the community about the manifestations of tuberculosis
While community education is important for awareness, it may not be the most immediate action needed to prevent the spread of tuberculosis. Reporting the case to the public health department allows for targeted interventions, including contact tracing and testing, which are more specific to controlling the spread of the disease.
B. Report the active case to the public health department.
Reporting the active case to the public health department is crucial for initiating appropriate public health measures, such as contact tracing and ensuring that individuals who may have been exposed to tuberculosis receive testing and, if necessary, treatment. This helps in preventing the further spread of the disease within the community.
C. Ensure client adherence to the medication regimen:
Ensuring client adherence to the medication regimen is essential for the individual's treatment but may not directly address the prevention of tuberculosis spread within the community. This action focuses on the individual's care rather than the broader public health perspective.
D. Perform tuberculosis screenings throughout the community:
While community screenings are valuable for early detection, initiating screenings for the entire community may not be the immediate and most efficient response. It's more targeted and effective to identify and test individuals who may have been in close contact with the known active case, as determined through reporting to the public health department.
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