A public health nurse is developing a protocol for the treatment of inhalation anthrax in the event of widespread public exposure. Which of the following pieces of information should the nurse plan to include?
The anthrax vaccine is ineffective following direct anthrax exposure.
Manifestations of anthrax infection appear within 3 days of exposure.
Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax.
Ciprofloxacin should be administered to asymptomatic clients who were directly exposed to anthrax.
The Correct Answer is D
Choice A reason: The anthrax vaccine is ineffective following direct anthrax exposure is not a correct piece of information to include in the protocol. The anthrax vaccine can provide some protection against anthrax if given before exposure, but it cannot prevent or treat anthrax infection after exposure¹.
Choice B reason: Manifestations of anthrax infection appear within 3 days of exposure is not a correct piece of information to include in the protocol. The incubation period of anthrax varies depending on the route of exposure, but it can range from one day to several weeks. Inhalation anthrax usually has an incubation period of one to six days, but it can be longer².
Choice C reason: Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax is not a correct piece of information to include in the protocol. Prophylactic treatment, or post-exposure prophylaxis (PEP), is the use of antibiotics to prevent anthrax infection in people who have been exposed to anthrax spores but do not have symptoms. PEP should be given for at least 60 days, or until the person receives three doses of the anthrax vaccine³.
Choice D reason: Ciprofloxacin should be administered to asymptomatic clients who were directly exposed to anthrax is a correct piece of information to include in the protocol. Ciprofloxacin is one of the antibiotics recommended by the CDC for PEP of anthrax. It can prevent anthrax infection in people who have inhaled anthrax spores but do not have symptoms. Ciprofloxacin should be given as soon as possible after exposure and continued for 60 days, or until the person receives three doses of the anthrax vaccine..
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While creating diversionary activities for children is important, it is not the priority. These activities can help alleviate stress and provide a sense of normalcy, but they do not address immediate survival needs.
Choice B reason: Helping clients gather needed supplies is also important, but it is secondary to addressing immediate physical needs. Supplies can be essential for comfort and recovery, but the first concern should be life-sustaining measures.
Choice C reason: Addressing the physical needs of clients is the priority in a disaster situation. This includes providing first aid, securing food and water, and ensuring safety. These actions are crucial for survival and must be addressed before other needs.
Choice D reason: Exploring the feelings the clients are experiencing is a part of psychological first aid and is vital for long-term recovery. However, it is not the immediate priority when compared to physical needs, which are essential for survival.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: This is correct. One of the child's parents appearing frightened of the other parent may indicate domestic violence or intimidation in the family, which can increase the risk of child abuse and neglect¹².
Choice B reason: This is correct. Neither of the child's parents being financially stable may indicate economic stress or poverty, which can increase the risk of child abuse and neglect¹².
Choice C reason: This is correct. One of the child's parents having a history of alcohol use disorder may impair their judgment, impulse control, or ability to care for the child, which can increase the risk of child abuse and neglect¹².
Choice D reason: This is incorrect. The child spending the weekends with their grandparents may indicate a supportive extended family or respite for the parents, which can decrease the risk of child abuse and neglect¹.
Choice E reason: This is incorrect. The child's family having an indoor cat that sleeps with the child may indicate a positive attachment or comfort for the child, which can decrease the risk of child abuse and neglect¹..
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