Following a bioterrorism attack, the nurse finds that the victims are suffering from small, black lesions on their forearms. The nurse collaborates with the physician to treat exposure to which agent?
1. Cutaneous anthrax
2. Phosgene gas
3. Gastrointestinal anthrax
4. Hydrogen cyanide
1
Rationale 1: Cutaneous anthrax produces small, black lesions on the skin.
Rationale 2: Phosgene gas causes frostbite-type lesions.
Rationale 3: Gastrointestinal anthrax causes sore throat, difficulty swallowing, cramping, diarrhea, and abdominal swelling.
Rationale 4: Hydrogen cyanide causes flushing of the skin.
Global Rationale: Cutaneous anthrax produces small, black lesions on the skin. Phosgene gas causes frostbite-type lesions. Gastrointestinal anthrax causes sore throat, difficulty swallowing, cramping, diarrhea, and abdominal swelling.
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The nurse performing an assessment of the client's abdomen uses which of the four techniques of examination in order to collect data?
1. Inspection and auscultation 2. Inspection, auscultation, and palpation 3. Inspection, auscultation, palpation, and percussion 4. Auscultation, percussion, and inspection
The correct order of actions for a patient starting enteral nutrition with a feeding tube is: _______________, _______________, _______________, _______________, _______________
(Put a comma and space between each answer choice.) A. Initiate tube feeding. B. Insert feeding tube. C. Flush tube to verify patency. D. Obtain chest radiograph. E. Assess residuals.
The mechanically ventilated client requires increasing PEEP for worsening ARDS. The order for PEEP is now at 20 cm of H2O. The nurse will need to contact the health care provider immediately if the client develops which of the following?
1. Lung sounds greater on one side than the other 2. Lung sounds with crackles 3. Diminished peripheral pulses 4. High-pressure alarm
After receiving a report, the nurse reviews all of the activities needed to be completed for a group of clients. This nurse is conducting which of the following characteristics of a competent nurse?
1. Planning and analyzing care needs 2. Seeing the big picture of the clinical situation 3. Matching an actual case with a textbook case 4. Establishing role boundaries