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 B

Explanation

A. Urinary output: While important, urinary output is not the immediate priority over assessing vital signs and consciousness.
B. Blood pressure: This is the priority assessment post-operatively to monitor for signs of bleeding, shock, or other complications.
C. Pain level: Pain management is important but secondary to ensuring stable hemodynamics immediately post-surgery.
D. Level of consciousness: This is also crucial, but monitoring blood pressure is a more direct indicator of immediate postoperative stability and potential complications.

Correct Answer is ["675"]

Explanation

To calculate the appropriate dose of vancomycin, follow these steps:

Convert pounds to kilograms:
- 198 lb (1 kg / 2.2 lb) = 90 kg
Calculate the total daily dose:
- 15 mg/kg/day 90 kg = 1350 mg/day
Determine the dose per administration:
- 1350 mg/day / 2 doses/day = 675 mg/dose

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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 is assessing a client who is being admitted from the post-anesthesia care unit (PACU) following an abdominal hysterectomy. Which of the following assessments is the nurse's priority?

Correct Answer is B

Explanation

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lbs. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["675"]

Explanation

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