A client seen in the emergency department reports fever, fatigue, and dry cough but no other upper respiratory symptoms. A chest x-ray reveals mediastinal widening. What action by the nurse is best?
a. Collect a sputum sample for culture by deep suctioning.
b. Inform the client that antibiotics will be needed for 60 days.
c. Place the client on Airborne Precautions immediately.
d. Tell the client that directly observed therapy is needed.
ANS: B
This client has manifestations of early inhalation anthrax. For treatment, after IV antibiotics are finished, oral antibiotics are continued for at least 60 days. Sputum cultures are not needed. Anthrax is not transmissible from person to person, so Standard Precautions are adequate. Directly observed therapy is often used for tuberculosis.
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