A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax.

Which of the following actions should the nurse take?

Prepare to administer antibiotics to the client

Wear an N95 respirator mask while caring for the client

Plan to administer an antiviral medication to the client.

Place a surgical mask on the client during transfer to the unit.

Answer and Explanation

The Correct Answer is A

a.   Cutaneous anthrax is typically treated with antibiotics, so preparing to administer antibiotics to the client is the appropriate action.
b.   While respiratory protection may be necessary in certain situations, such as when dealing with airborne pathogens, anthrax exposure typically does not require an N95 respirator mask.
c.   Anthrax is caused by a bacterium, not a virus, so administering an antiviral medication would not be effective in treating the infection.
d.   Placing a surgical mask on the client during transfer may not be necessary unless there are specific concerns about the spread of respiratory droplets. However, the primary treatment for cutaneous anthrax is antibiotics, not respiratory precautions.

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Correct Answer is C

Explanation

a. While documenting that an incident report has been filed is important, it should not be the first action taken. The nurse should first take steps to address the issue.
b. In this situation, contacting risk management may be necessary, but the immediate priority should be to address the client's concerns and ensure appropriate follow-up.
c. Contacting the nurse manager is the appropriate first action to report the client's complaint and initiate further investigation and intervention as needed.
d. Reassuring the client about the staff's training is not sufficient in addressing the client's complaint of excessive force. The issue should be reported to the appropriate authority for investigation and resolution.

A. The AP wears a surgical mask when caring for a client who has respiratory tuberculosis B. The AP uses alcohol-based hand sanitizer after emptying the bedpan of a client who has Clostridium difficile C. The AP bundles the clean side of linen inward when changing the sheets for a client who has an infected surgical wound D. The AP removes her gloves before leaving the room of a client who has MRSA

Correct Answer is D

Explanation

A. A surgical mask is insufficient for caring for a client with respiratory tuberculosis; an N95 respirator should be worn to protect against airborne transmission.

B. Alcohol-based hand sanitizer is ineffective against Clostridium difficile spores. Handwashing with soap and water is essential to eliminate the spores and prevent transmission.

C. While bundling linens correctly helps minimize contamination, the action does not pertain to infection control precautions relevant to the scenario.

D. Removing gloves before leaving the room of a client with MRSA is appropriate as it helps prevent cross-contamination and the spread of infection to other areas of the facility. Proper disposal and hygiene practices should always be followed after contact with potentially infected surfaces.

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A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax.

Which of the following actions should the nurse take?