A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax.
Which of the following actions should the nurse take?
Prepare to administer antibiotics to the client
Wear an N95 respirator mask while caring for the client
Plan to administer an antiviral medication to the client.
Place a surgical mask on the client during transfer to the unit.
The Correct Answer is A
a. Cutaneous anthrax is typically treated with antibiotics, so preparing to administer antibiotics to the client is the appropriate action.
b. While respiratory protection may be necessary in certain situations, such as when dealing with airborne pathogens, anthrax exposure typically does not require an N95 respirator mask.
c. Anthrax is caused by a bacterium, not a virus, so administering an antiviral medication would not be effective in treating the infection.
d. Placing a surgical mask on the client during transfer may not be necessary unless there are specific concerns about the spread of respiratory droplets. However, the primary treatment for cutaneous anthrax is antibiotics, not respiratory precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Helping the assistive personnel immediately ensures the client’s safety, which is the nurse’s top priority. Incorrect transfer techniques can lead to falls or injury, so the nurse must intervene right away to prevent harm.
B. Demonstrating proper transfer technique is important for education, but it should occur after the immediate safety issue is resolved.
C. Instructing the AP to request assistance when unsure is appropriate teaching, but it does not address the immediate risk to the client during the transfer.
D. Referring the AP to the procedure manual is not a priority in an active situation where the client could be injured. Education and reference can occur later.
Correct Answer is B
Explanation
a. Administering a sedative should not be the first response, as it may not address the underlying cause of the behavior and may increase the risk of adverse effects.
b. Contacting a family member to provide support and comfort to the client can help alleviate agitation and may help redirect the client's behavior.
c. Placing the client in a wheelchair with a lap tray does not address the underlying cause of the behavior and may not be effective in managing agitation.
d. Keeping the client in her room with the door closed may isolate the client but does not address the underlying cause of the behavior or provide appropriate support.
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