A suspected outbreak of anthrax has been transmitted by skin exposure. A client is admitted to the emergency department with lesions on the hands. The healthcare provider prescribes antibiotics and sends the client home. What should the nurse instruct the client to do? Select All That Apply.

Expect the skin lesions to clear up within 1 to 2 weeks.

Wear an N95 mask.

Avoid contact with other family members for 72 hours.

Wear a surgical mask.

Take the prescribed antibiotics.

Answer and Explanation

Correct Answer : E

Cutaneous anthrax involves Bacillus anthracis spores entering the skin, leading to a painless eschar. Standard precautions are sufficient as person-to-person transmission is rare, emphasizing pharmacological management and wound care to prevent systemic pathogenic dissemination and complications.

Rationale:

A. The characteristic necrotic eschar from cutaneous anthrax typically takes several weeks to resolve. While the edema may decrease, the painless lesion usually requires a longer recovery period than 1 to 2 weeks for complete healing.

B. An N95 mask is utilized for airborne precautions to filter tiny infectious droplets. Since cutaneous anthrax is not transmitted through the respiratory route between humans, this high-level filtration mask is not indicated for the client.

C. Isolation from family is unnecessary because cutaneous anthrax is not considered contagious among humans. The infection is acquired through direct contact with contaminated animal products or spores, not through casual social or household interaction.

D. Surgical masks are used for droplet precautions to prevent the spread of respiratory secretions. Because anthrax is not spread via respiratory droplets from an infected person, wearing a surgical mask provides no clinical benefit in this scenario.

E. Compliance with antibiotic therapy is the definitive treatment for cutaneous anthrax. Medications such as ciprofloxacin or doxycycline are critical to eliminate the bacterial load and prevent the localized infection from progressing to a systemic illness.

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Correct Answer is B

Explanation

Research methodology in healthcare distinguishes between quantitative measurement of numerical variables and qualitative exploration of subjective experiences. Studies examining lived experiences, perceptions, and meanings focus on phenomenological analysis, thematic interpretation, and narrative data rather than statistical computation.

Rationale:

A. Quantitative research focuses on numerical data analysis such as ejection fraction, blood pressure, or hospitalization rates. It uses structured instruments and statistical testing. It does not explore subjective feelings or personal experiences of illness adaptation.

B. Qualitative research investigates lived experiences, emotions, and perceptions of individuals managing chronic conditions like congestive heart failure. It uses interviews and thematic analysis to understand coping mechanisms and psychosocial impact. This aligns with exploring patient-reported experiences.

C. Mixed methods research combines quantitative data and qualitative findings within a single study design. It integrates numerical outcomes with narrative experiences. This scenario focuses solely on experiential data, not dual methodology.

D. Translational research focuses on bench-to-bedside application, converting laboratory discoveries into clinical practice. It emphasizes implementation of evidence-based interventions rather than exploring subjective patient experiences or perceptions of illness.

Correct Answer is ["125"]

Explanation

Step 1: Determine total infusion time
Total dose = 40 mEq, Rate = 10 mEq/hr
Time = 40 ÷ 10 = 4 hours

Step 2: Identify total volume
Total volume = 500 mL

Step 3: Use the formula
mL/hr = Total volume ÷ Time

Step 4: Insert values
= 500 ÷ 4

Step 5: Calculate
= 125 mL/hr

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A suspected outbreak of anthrax has been transmitted by skin exposure. A client is admitted to the emergency department with lesions on the hands. The healthcare provider prescribes antibiotics and sends the client home. What should the nurse instruct the client to do? Select All That Apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a group of clients regarding their feelings and experiences of living with congestive heart failure. In which type of research studies is the nurse participating?

Correct Answer is B

Explanation

A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium chloride (NaCl) 500 mL IV to infuse 10 mEq/hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["125"]

Explanation

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