A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work. Which of the following is the most appropriate action for the nurse to take?

Administer pain medication.

Administer antibiotic therapy.

Administer an antiviral medication.

Administer an antitoxin.

Answer and Explanation

The Correct Answer is B

A. Administer pain medication: Pain management is not the primary intervention for exposure to anthrax; the focus should be on addressing the disease directly.
B. Administer antibiotic therapy: This is correct. Post-exposure prophylaxis with antibiotics is crucial in preventing the development of anthrax, especially after exposure to spores.
C. Administer an antiviral medication: This is incorrect. Anthrax is caused by bacteria, not viruses, so antiviral medications are not effective.
D. Administer an antitoxin: While antitoxins are used in treating symptomatic anthrax, the immediate and appropriate action for exposure is to start antibiotic therapy.

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Correct Answer is D

Explanation

A. Remove the dressing to inspect the wound: This could exacerbate the wound and increase the risk of air entering the pleural space. The priority is to manage the wound to prevent further complications.
B. Prepare to insert a central line: While a central line might be needed for severe fluid resuscitation or medication administration, addressing the immediate airway and breathing concerns is more urgent.
C. Raise the foot of the bed to a 90° angle: This position is not appropriate for managing a sucking chest wound and does not address the immediate respiratory needs.
D. Administer oxygen via nasal cannula: The client is showing signs of hypoxia and increased respiratory distress. Administering oxygen will help improve oxygenation and manage symptoms of hypoxia until further interventions can be taken.

A. Pantoprazole B. Isosorbide mononitrate C. Acetylsalicylic acid D. Atorvastatin sodium

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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A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work. Which of the following is the most appropriate action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 110/60 mm Hg, a pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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