ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 15 : Disaster Situations Questions
Question 1 of 5
The nurse is caring for a client with internal radiologic contamination from the fallout. The client states, 'I need to get this out of me, and then I will be done with it.' The nurse is most correct to reply which of the following?
Correct Answer: C
Rationale: Internal radiologic contamination occurs from exposure to fallout on the skin, in a wound, inhaled, or consumed through food and water. It is the nurse's responsibility to advise the client if further harm may occur and ways to decrease the risk.
Question 2 of 5
Which isolation category should the nurse use to guide care when caring for a client with anthrax?
Correct Answer: A
Rationale: Standard precautions, measures for reducing the risk of transmitting pathogens, are sufficient for caring for clients infected with anthrax. These precautions are for all patients being cared for in the hospital. Droplet, airborne, and contact precautions initiate additional measures beyond those for standard precautions.
Question 3 of 5
The nurse is instructing on bioterrorism agents. Which of the following does the nurse emphasize as an agent which is transmitted from person to person?
Correct Answer: C
Rationale: Smallpox is highly contagious and caused by a variola virus. Individuals infected with the botulinum toxin and anthrax are not at risk to others; there are no reports of person to person transmission. Varicella, commonly called the chickenpox, is contagious but not a bioterrorism agent.
Question 4 of 5
The nurse is caring for a client diagnosed with botulism. Which medication classification does the nurse anticipate?
Correct Answer: D
Rationale: Botulism is treated with antitoxins to neutralize the botulinum toxin. Antibiotics are not effective against botulism, as it is caused by a toxin, not a bacterial infection. Anti-inflammatories and antipyretics are not indicated for botulism treatment.
Question 5 of 5
The nurse is caring for a client affected by a nerve agent. The nurse quickly gives a tutorial on the neurotransmitters and nervous system affected. Which couplet is most correct?
Correct Answer: A
Rationale: Nerve agents cause fatal consequences by inhibiting acetyl cholinesterase. Acetyl cholinesterase is an enzyme that inactivates acetylcholine, a neurotransmitter of the parasympathetic nervous system. No other option is correct.