A patient is admitted to the emergency department with symptoms resembling the flu. What information should the nurse gather to rule out exposure to anthrax spores?
Determine the patient’s occupation.
Identify the patient’s personal contacts over the past week.
Obtain a twenty-four-hour diet history.
Inquire about previous vaccination for smallpox.
The Correct Answer is A
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Anthrax is a serious disease caused by Bacillus anthracis, a bacterium that forms spores. Certain occupations, such as those involving livestock or animal products, may increase the risk of exposure to anthrax spores.
Choice B rationale
While it’s important to identify personal contacts in the case of some infectious diseases, anthrax is not spread from person to person. Therefore, identifying personal contacts over the past week would not necessarily help to rule out exposure to anthrax spores.
Choice C rationale
A twenty-four-hour diet history would not typically be useful in ruling out exposure to anthrax spores. Anthrax is not usually spread through food or water.
Choice D rationale
Inquiring about previous vaccination for smallpox would not help to rule out exposure to anthrax spores. Smallpox and anthrax are caused by different organisms, and the smallpox vaccine does not provide protection against anthrax.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.
Choice B rationale
While keeping immunizations up-to-date is generally important for health, it is not the most relevant question in this context. Not all eye conditions are preventable through immunization.
Choice C rationale
Asking about new medications is relevant as certain medications can cause side effects or allergic reactions that affect the eyes. However, the symptoms described are more commonly associated with conditions like conjunctivitis or uveitis, which are not typically caused by medications.
Choice D rationale
Regular hand washing is important for general health and can prevent the spread of many diseases. However, it is not the most relevant question when a client presents with pain, redness, and swelling in the eye.
Correct Answer is C
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While a local shopping mall might attract a large number of people, it may not be the most effective location for a dental caries prevention program. The program would likely be more successful in a setting where children and their parents regularly go and feel comfortable discussing health-related topics.
Choice B rationale
Hospital emergency departments primarily deal with acute health issues. They may not be the most suitable setting for a preventive program focused on dental health, which is a long-term and ongoing concern.
Choice C rationale
The Women, Infants, and Children (WIC) office provides support to low-income women and young children, including nutrition education and healthy food. While this setting might reach a population that could benefit from a dental caries prevention program, it may not reach all children in the community.
Choice D rationale
A community youth center could be an effective location for a dental caries prevention program. These centers often provide a variety of programs for children and have the
infrastructure to support health education programs. They are also places where children and their parents are likely to feel comfortable and receptive to learning.
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