A nurse at a school notices that several students have "blisters" on their bodies
Further investigation reveals that a terrorist incident has occurred, causing smallpox. If the chemical, biologic, radiologic, nuclear, and explosive (CBRNE) agent categories are used, this incident would be classified as:
a. chemical.
b. biologic.
c. radiologic.
d. nuclear.
ANS: B
Correct: The biologic category refers to diseases such as plague or smallpox.
Incorrect:
a. The chemical category includes diseases that are easily spread through the air and require decontamination.
c. Radioactive dirty bombs result in burns and poisoning.
d. The nuclear category consists of thermal burns due to nuclear blasts.
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A client who has amyotrophic lateral sclerosis (ALS) has a nursing diagnosis of Ineffective breathing patterns related to weakness of respiratory muscles and fatigue. Which goal is appropriate for this diagnosis?
a. Client will experience less fatigue. b. Client will maintain highest functional ability within limitations of the disease. c. Client will maintain adequate PaO2 levels. d. Client will swallow with minimal choking and coughing, and no aspiration.
A client's response to assessment of the plantar reflex is to fan the toes and dorsiflect the big toe. The nurse should recognize that this response is indicative of:
a. a normal response c. corticospinal disease b. stereognosis d. a brain tumor
Which is the most important precaution for the nurse to take when administering pentamidine (Pentam) intravenously to a client with pneumocystis pneumonia?
A. Monitoring intake and output B. Checking the IV site hourly for phlebitis C. Assessing the client hourly for manifestations of hypoglycemia D. Assessing deep tendon reflexes and handgrip strength bilaterally
A burn patient is admitted to a medical-surgical unit and acquires a urinary tract infection (UTI). The prescriber orders mafenide (Sulfamylon) to prevent bacterial colonization. The nurse should monitor the laboratory test results for the development of
a. anemia. b. uremia. c. hepatitis. d. acidosis.