A bioterrorism attack occurred locally in which people were exposed to anthrax. As the nurse, you understand the main priority would be:

To provide the proper immunizations to those exposed.

To provide symptom support, as there is no treatment to exposure of anthrax

to administer antibiotics within 48 hours of exposure using the Strategic National Stockpile

To place everyone who was exposed in quarantine.

Answer and Explanation

The Correct Answer is C

In the case of a bioterrorism attack involving anthrax, the main priority for the nurse is to administer antibiotics within 48 hours of exposure using the Strategic National Stockpile. Anthrax is a serious bacterial infection that can be used as a bioterrorism weapon. Antibiotics, such as ciprofloxacin, doxycycline, and penicillin, can be used to prevent anthrax from developing in people who have been exposed.

There is currently no vaccine available for anthrax exposure. Also, symptom support alone is not enough in cases of anthrax exposure, as anthrax can progress rapidly and lead to serious complications. Placing everyone who was exposed in quarantine may not be necessary in all situations, and should be determined on a case-by-case basis depending on the extent and severity of the exposure.

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Correct Answer is A

Explanation

The nurse's first action should be to massage the woman's fundus. A completely saturated perineal pad within 15 minutes after giving birth indicates excessive bleeding, which is also known as postpartum hemorrhage (PPH). Massaging the uterus (fundus) can help it to contract, reduce bleeding, and prevent further blood loss. Once the fundus has been massaged, the nurse should assess the woman's vital signs and continue to monitor her for signs of continued bleeding. If bleeding persists despite massage, the nurse should begin an intravenous (IV) infusion of Ringer's lactate solution and call the woman's primary healthcare provider.

A. Reduce maternal and fetal tachycardia associated with terbutaline administration. B. Suppress uterine contractions. C. Stimulate fetal surfactant production. D. Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy.

Correct Answer is C

Explanation

Betamethasone is a corticosteroid that enhances fetal lung maturity, which can help reduce the risk of respiratory distress syndrome and other complications in preterm infants. It does not reduce maternal and fetal tachycardia associated with terbutaline administration, suppress uterine contractions, or maintain maternal respiratory effort and ventilation during magnesium sulfate therapy.

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A bioterrorism attack occurred locally in which people were exposed to anthrax. As the nurse, you understand the main priority would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to:

Correct Answer is A

Explanation

A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to:

Correct Answer is C

Explanation

Cervidil (dinoprostone) has been ordered for a pregnant woman at 42 weeks of gestation. The nurse recognizes that this medication will be administered to:

The nurse is caring for a 30-week gestation client who was loaded on a magnesium sulfate infusion one hour ago for preterm labor. Which of the following assessment findings would warrant the infusion to be discontinued immediately?

A nursery nurse is performing a shift assessment on a baby who was born 8 hours ago via a vacuum-assisted vaginal birth and notices caput succedaneum. Which of the following statements regarding caput succedaneum is correct?

A nurse practicing in the perinatal setting should promote kangaroo care regardless of an infant's gestational age. Which statement regarding this intervention is most appropriate?

A patient arrives at OB triage with a complaint of vaginal bleeding. The nurse would prioritize all of the following questions during the assessment except:

A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress test indicated that her fetus could be experiencing some difficulties in utero. Which diagnostic tool would yield more detailed information about the fetus?

The nurse is caring for a patient who has just been diagnosed with an ectopic pregnancy. Which of the following can the nurse anticipate as a part of the treatment plan for an ectopic pregnancy?

The NICU nurse observes the parents of a newborn admitted two days ago for prematurity. The nurse knows infection prevention education has been effective when which observation is made: