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Which of the following findings is an indication of the prodromal stage of anthrax? ANTHRAX Bioterrorism Agent Profiles for Health Care Workers Causative Agent: Bacillus anthracis is a spore-forming, rod-shaped gram-positive bacillus. b. Rhinitis. A nurse in a clinic is reinforcing teaching with a client who is to have a tuberculin skin test. a. Learn vocabulary, terms, and more with flashcards, ... a nurse in an urgent care clinical is collecting data from a client who reports exposure to anthrax; which of the following findings is an indication of prodromal stage of inhalation anthrax? "Take aspirin 650 milligrams by mouth for mild pain. A nurse on a medical unit is assisting with the care of a client who has a possible closed pneumothorax and significant bruising of the left chest following a motor-vehicle crash. 751 0 obj<>
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(L�m�������b��a.A'E�Ij?j However, once airway secretions are mobilized and expectorated, the client might be able to breathe deeper. Which of the following findings is an indication of pulmonary embolism? The client who has a tracheostomy with an inflated cuff in place is unable to speak. A nurse is collecting data from a client who has a prescription for cisplatin IV to treat lung cancer. Night sweats and fevers are clinical manifestations of tuberculosis. 0000019156 00000 n
b. Prone with the arms raised over the head, c. Supine with the head of the bed elevated, d. Sitting while leaning forward over the bedside table. The nurse should check the client's airway after coughing and only suction the client's secretions, if the client is able to cough and expectorate secretions. A nurse on a medical unit is assisting with the care of a client who aspirated gastric contents prior to admission. The symptoms of anthrax depend on the type of infection and can take anywhere from 1 day to more than 2 months to appear. A nurse is caring for an older adult client who has chronic obstructive pulmonary disease and pneumonia. The client should apply cold compresses to his face to decrease swelling. The nurse should instruct the client that which of the following positions will be used for this procedure? trailer
A nurse is assisting with the plan of care for a client who has chronic obstructive pulmonary disease and is malnourished. The nurse will insert an IV orde... Use LEFT and RIGHT arrow keys to navigate between flashcards; Use UP and DOWN arrow keys to flip the card; A nurse in a provider’s office is collecting data from a client who is states he was recently exposed to tuberculosis. The nurse should auscultate coarse crackles or rhonchi, identify a moist cough, hear or see secretions in the tracheostomy tube, and then suction the client’s airway secretions. Nursing Care A nurse is assisting the provider to prepare a client for a thoracentesis. The nurse identified initial signs of inadequate oxygen on the patient and placed a simple face oxygen mask on her. ", d. "Lie on your back with your head elevated 30° when resting.". A new staging system for inhalation anthrax was proposed that divides the prodromal period into early and intermediate progressive stages . Which of the following findings is a clinical manifestation of pulmonary tuberculosis? d. Empty the collection chamber and record the amount of drainage every 8 hr. Before the nurse can formulate a plan of action, implement a nursing intervention, or notify a provider of a change in the client's status, she must first collect adequate data from the client. Although it is important for the nurse to discuss the client’s medication regimen to ensure understanding of how to use each medication, there is another point the nurse should discuss first. During this stage, it is difficult to distinguish from influenza or pneumonia because there is no sore throat or rhinitis. Excessive vomiting also places a client at risk for development of metabolic alkalosis. The client states, "I am afraid it will hurt to cough after the surgery." The client who has ARDS will have clear breath sounds because edema occurs in the interstitial spaces and not in the airway. On the basis of the clinical, radiologic, and microbiologic findings of the 11 inhalational anthrax victims in 2001, 3 stages have been identified. During this stage, it is difficult to distinguish from influenza or pneumonia because there is no sore throat or rhinitis. Determine the client’s perception of the disease process and what might have triggered the current attack. During this stage, it is difficult to distinguish from influenza or pneumonia because there is no sore throat or rhinitis. 0000022426 00000 n
a. dry cough b. rhinitis c. sore throat d. swollen … The client who has a sore throat is not manifesting findings of inhalation anthrax; however, a sore throat is typically seen with colds and influenza. These symptoms may be accompanied by cough, shortness of breath, chest pain, and nausea or vomiting, making inhalation anthrax difficult to distinguish … If inhaled, B.anthraciscanbequitelethal,ontheorderof80–90%forthemost virulent strains. 0000007152 00000 n
During the first few days of illness, most people have fever, chills, and fatigue. Please select the correct language below. A client who has asthma experiences an expiratory wheezing during an acute asthma attack. If a risk of inhalation anthrax cannot be ruled out, prophylaxis … The client reports severe left chest pain on inspiration. The nurse will inject 0.1 mL of purified protein derivative intradermally to the dorsal aspect of the client’s forearm. The nurse should show the client how to splint her incision to reduce pain when coughing. The prodromal stage of inhalation anthrax infection can be subdivided into two phases during which the toxins are essential for silencing and altering immune cell functions wherein LT exerts the predominant effect and ET plays a contributing role, as observed in the original experiments of Pezard et al. Assessing or collecting additional data will provide the nurse with knowledge to make an appropriate decision. A nurse is preparing to assist a provider to withdraw arterial blood from a client’s radial artery for measurement of ABG. A client who has pneumothorax experiences severely diminished or absent breath sounds on the affected side. Crackles, which are sometimes called rales, are wet popping sounds the nurse can hear when auscultating the client’s lungs. 0000022504 00000 n
a.Clamp the chest tube if there is continuous bubbling in the water seal chamber. ", b. products (cutaneous anthrax), ingesting contaminated meat (gas-trointestinal anthrax), and inhalation of anthrax spores. 3 6/7 EMEA 2002 Cutaneous anthrax In non-severe cases where high spontaneous recovery rates have been reported, a 7-10 days oral treatment regimen with the same products and doses as detailed in the tables is recommended. 0000025174 00000 n
a. CORRECT. 0000013214 00000 n
a. Clamp the chest tube if there is continuous bubbling in the water seal chamber. A nurse is reinforcing teaching about pursed-lip breathing for a client who has chronic obstructive pulmonary disease and emphysema. xref
Intestinal anthrax This is acquired by ingestion of contaminated raw meat and has an incubation period of one to … The client who has a dry cough has a clinical manifestation found in the prodromal stage of inhalation anthrax. Early-prodromal: The first stage consists of nonspecific symptoms such as fever, dyspnea, cough, headache, vomiting, chills, weakness, abdominal pain, and chest … Animals are mainly thought to become infected when they ingest spores; however, inhalation ANTHRAX CPMP/4048/01, rev. Although it is important for the nurse to review manifestations of respiratory infections with the client, there is another point the nurse should discuss first. CORRECT. Each step of the nursing process builds on the previous step, beginning with assessment or data collection. Find out how you can intelligently organize your Flashcards. Crepitus, also called subcutaneous emphysema, is a coarse crackling sensation that the nurse can feel when palpating the skin surface over the client’s chest. 0000021234 00000 n
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environmental triggers that precipitate attack. Increase oxygen cautiously because the client depends on low oxygen to stimulate breathing. The client who has a dry cough has a clinical manifestation found in the prodromal stage of inhalation anthrax. The nurse should instruct the client that which of the following is the purpose of these treatments? Person-to-person transmission of anthrax … The nurse should notify the charge nurse that the client is demonstrating a clinical manifestation of which of the following complications? Tracheal deviation is an indication of tension pneumothorax and is fatal if not promptly treated. This condition occurs due to the pleural surfaces rubbing together. 0
Total lung capacity measures the amount of air the lungs can hold after maximum inhalation. 0000004362 00000 n
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Add to folder[?] Which of the following instructions should the nurse include? 0000016914 00000 n
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b. The average incubation time is ap-proximately 11 days [5]. The most common site for withdrawal of arterial blood gases is the radial artery. Inhalation Anthrax Inhaled anthrax typically begins showing symptoms in seven to 10 days, although it could be as early as two to three days. Anorexia and weight loss are clinical manifestations of tuberculosis. b. A nurse on a medical-surgical unit is caring for a client who is postoperative following a hip replacement surgery. The client who uses pursed-lip breathing breathes in through the nares and out through pursed lips, rather than concentrating on using the diaphragm. 0000004522 00000 n
It slows the client’s pace of breathing and keeps the airway open on exhalation, making each breath more effective. You will have a pump that delivers pain medication as you need it, so you will have very little pain. Residual volume measures the amount of air in the lungs after forced expiration. The client who has COPD often experiences early satiety. Inhalation anthrax is considered to be the most deadly form of anthrax. Pursed-lip breathing releases trapped air in the lungs and prolongs exhalation to slow the breathing rate. The nurse should not administer oxygen prior to the blood draw, because the test measures the client’s blood gases when breathing room air. 0000019763 00000 n
Which of the following points should the nurse plan to discuss first? When a patient enters the hospital and is in active labor the patient will be transferred into the labor and delivery suite. A nurse is reinforcing teaching with a client who has cystic fibrosis and a prescription for daily chest physiotherapy. 0000021423 00000 n
A client who has thick sputum production or obstruction from a foreign body has rhonchi, which are dry, low-pitched, snore-like noises produced in the throat. Hallucinations are an adverse effect of asparaginase, which is an antineoplastic medication used to treat acute lymphocytic leukemia. When a client has a positive skin test, subsequent skin tests will always be positive. The nurse should expect bubbling in the water seal chamber on forced expiration or coughing, which is an indication that the system is working properly. All types of anthrax have the potential, if untreated, to spread throughout the …