Which of the following is a priority when dealing with a client exposed to rabies?

Isolation of the client

Monitoring the client for fever and headache

Providing supportive care only

Administering rabies vaccine and immunoglobulin

Answer and Explanation

The Correct Answer is D

A. Isolation of the client:
Rabies is not spread via casual contact between humans, and isolation is not necessary unless the client is actively symptomatic and at risk of biting. Transmission between humans is extremely rare.

B. Monitoring the client for fever and headache:
While monitoring for signs of infection is important, it is not a priority in the immediate management of rabies exposure. Prophylaxis must begin before symptoms appear.

C. Providing supportive care only:
Supportive care alone is not sufficient. Rabies is almost always fatal once symptoms develop, so pre-exposure or post-exposure prophylaxis is critical.

D. Administering rabies vaccine and immunoglobulin:
Post-exposure prophylaxis (PEP) includes both rabies immunoglobulin (for immediate passive immunity) and the rabies vaccine (for active long-term immunity). This is the top priority to prevent disease progression.

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Correct Answer is A

Explanation

A. Cardiac tamponade:
Obstructive shock occurs when there is mechanical obstruction to cardiac output, such as in cardiac tamponade, where fluid buildup in the pericardial sac compresses the heart.

B. Ruptured aneurysm:
A ruptured aneurysm causes hypovolemic shock due to massive blood loss, not mechanical obstruction.

C. Third spacing:
This refers to fluid shifting into interstitial spaces, contributing to hypovolemic or distributive shock, not obstructive shock.

D. Myocardial infarction:
MI results in cardiogenic shock, due to decreased cardiac pump function, not obstruction to flow.

A. To reduce inflammation in the body B. Because the total energy expenditure is often increased 1 1/2 to 2 times C. To decrease the metabolic rate D. To prevent infection in the body

Correct Answer is B

Explanation

A. To reduce inflammation in the body:
While proper nutrition supports immune function, caloric needs do not directly reduce inflammation.

B. Because the total energy expenditure is often increased 1½ to 2 times:
In the hypermetabolic state seen in SIRS and MODS, caloric demands are significantly elevated. The body increases energy expenditure to support tissue repair, immune responses, and organ function.

C. To decrease the metabolic rate:
Caloric intake does not reduce metabolic rate; instead, it supports the increased demand.

D. To prevent infection in the body:
While nutrition supports immunity, the primary reason for increased calorie needs is the hypermetabolic response, not direct infection prevention.

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Which of the following is a priority when dealing with a client exposed to rabies?

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Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client experiencing obstructive shock. Which of the following diagnoses should the nurse expect?

Correct Answer is A

Explanation

In SIRS and MODS, why is there an increased need for calories?

Correct Answer is B

Explanation

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