A veterinarian comes to the urgent care clinic and says, "I think I was bitten on the hand by something earlier in the week and the area isn't healing.". Assessment reveals a painless lesion with a black center
Axillary lymph nodes are enlarged. The nurse suspects cutaneous anthrax. Which actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Immediately contact the clinic health care provider with this assessment.
2. Prepare to obtain a culture.
3. Isolate the patient from others in the clinic.
4. Ask the patient about allergy to antibiotics.
5. Ask the patient if any strangers were in the veterinary clinic last week.
2,4
Rationale 1: There is no need for immediate collaboration with the health care provider. The patient should be seen, but the situation is not an emergency.
Rationale 2: A skin culture will probably be needed for diagnosis.
Rationale 3: This lesion is not contagious.
Rationale 4: Doxycycline and ciprofloxacin are used to treat cutaneous anthrax.
Rationale 5: Anthrax occurs naturally in soil, and people working with animals can come into contact with it. There is no indication that this anthrax exposure was purposeful.
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