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 ["B","C","D","E"]
Explanation
Answer and explanation
The correct answer is Choices B, C, D, and E.
Choice A rationale
Areas with negative-pressure airflow are typically used in healthcare settings to prevent the spread of airborne pathogens, not bloodborne pathogens.
Choice B rationale
Puncture-resistant sharps containers are a crucial part of an exposure control plan for bloodborne pathogens. They provide a safe way to dispose of sharps, reducing the risk of needlestick injuries.
Choice C rationale
Needleless medication delivery systems can significantly reduce the risk of needlestick injuries, thereby reducing the risk of exposure to bloodborne pathogens.
Choice D rationale
A vaccination schedule for Hepatitis B is an important part of an exposure control plan. Hepatitis B is a bloodborne pathogen, and vaccination is an effective way to prevent infection.
Choice E rationale
Personal protective equipment (PPE) is a key component of an exposure control plan. PPE such as gloves, gowns, and face shields can provide a barrier between the healthcare worker and potentially infectious material.
Correct Answer is ["B","C","D","E"]
Explanation
Answer and explanation
The correct answers are Choices B, C, D, and E.
Choice A rationale
Encouraging the client to “keep doing whatever you are doing” is not an appropriate intervention for a client with a blood pressure reading of 138/80 mm Hg. This blood pressure reading is considered elevated and could indicate pre-hypertension. Therefore, the nurse should assess the client’s lifestyle and other risk factors for hypertension, ask the client about any current antihypertensive medications, obtain another blood pressure reading to verify the first reading, and recommend further evaluation for possible pre-hypertension.
Choice B rationale
Assessing the client’s lifestyle and other risk factors for hypertension is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. Lifestyle factors, such as diet, physical activity, alcohol consumption, and tobacco use, can significantly influence
blood pressure levels. Therefore, the nurse should assess these factors and provide appropriate education and interventions.
Choice C rationale
Asking the client about any current antihypertensive medications is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. The client may be taking medications that could affect their blood pressure. Therefore, the nurse should ask about these medications and consider their potential impact on the client’s blood pressure.
Choice D rationale
Obtaining another blood pressure reading to verify the first reading is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. Blood pressure can fluctuate throughout the day and can be influenced by various factors, such as stress, physical activity, and caffeine consumption. Therefore, the nurse should obtain another reading to confirm the initial measurement.
Choice E rationale
Recommending further evaluation for possible pre-hypertension is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. A blood pressure reading of 138/80 mm Hg is considered elevated and could indicate pre-hypertension. Therefore, the nurse should recommend further evaluation to confirm this diagnosis and determine appropriate treatment.
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