A nurse is caring for a client who has been suspected of recent exposure to anthrax by inhalation. Which of the following findings would indicate the client has been exposed?
Flu-like symptoms
Vesicles on the skin
Respiratory failure
Flaccid paralysis
The Correct Answer is A
A. Flu-like symptoms: This is correct. Inhalation anthrax initially presents with flu-like symptoms, including fever, cough, and malaise. This early presentation can progress to severe respiratory distress and systemic illness.
B. Vesicles on the skin: This is incorrect. Vesicular lesions are more characteristic of diseases such as smallpox or chickenpox, not anthrax.
C. Respiratory failure: While respiratory failure can occur with advanced inhalation anthrax, it is a later-stage complication rather than an initial finding.
D. Flaccid paralysis: This is incorrect. Flaccid paralysis is not a typical symptom of anthrax exposure but may be associated with diseases such as botulism.
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Related Questions
Correct Answer is C
Explanation
A. A history of pelvic inflammatory disease (PID): While PID can cause pelvic pain, it is not specifically indicative of endometriosis. Endometriosis is a distinct condition with its own set of symptoms.
B. Abdominal bloating starting several days before menses: This symptom can occur with endometriosis, but it is not as specific as other symptoms.
C. Dysmenorrhea that is unresponsive to nonsteroidal anti-inflammatory drugs (NSAIDs): Endometriosis often presents with severe dysmenorrhea that does not respond well to NSAIDs. This is a classic symptom of endometriosis.
D. An atypical Papanicolaou (Pap) smear at her last clinic visit: An atypical Pap smear is more related to cervical abnormalities and is not a specific finding for endometriosis.
Correct Answer is B
Explanation
A. Pantoprazole: This medication is a proton pump inhibitor used to treat acid-related disorders and does not interact adversely with sildenafil.
B. Isosorbide mononitrate: This is correct. Isosorbide mononitrate is a nitrate used to treat angina. Combining it with sildenafil can lead to severe hypotension due to their additive vasodilatory effects.
C. Acetylsalicylic acid: This is incorrect. Acetylsalicylic acid (aspirin) is used for pain relief and cardiovascular protection and does not contraindicate sildenafil use.
D. Atorvastatin sodium: This is incorrect. Atorvastatin is a statin used to manage cholesterol levels and does not contraindicate sildenafil use.
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