A client has been admitted for suspected inhalation anthrax infection. What question by the nurse is most important?
a. "Are any family members also ill?"
b. "Have you traveled recently?"
c. "How long have you been ill?"
d. "What is your occupation?"
ANS: D
Inhalation anthrax is rare and is an occupational hazard among people who work with animal wool, bone meal, hides, and skin, such as taxidermists and veterinarians. Inhalation anthrax seen in someone without an occupational risk is considered a bioterrorism event and must be reported to authorities immediately. The other questions are appropriate for anyone with an infection.
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A client with a history of cardiac problems is brought to the emergency room by the paramedics with a tentative diagnosis of myocardial infarction (MI, or "heart attack")
The paramedic tells the nurse that the client had pain in the jaw area that was not relieved with nitroglycerin. The client asks the nurse how jaw pain is related to having a "heart attack." The nurse's best explanation is: 1. "The doctors would rather treat you as a cardiac client until they find out why the nitroglycerin did not work." 2. "Sometimes cardiac pain is not just in your chest, but in your jaws, arms or back." 3. "You may have been so stressed that you clenched your jaws and not realized if you had any chest pain or not." 4. "It may not be related, but cardiac pain is so serious to investigate and treat."
As a group, oral anticoagulants have a greater potential for significant drug interactions than any other classification of drugs
Indicate whether the statement is true or false.
Which of the following statements regarding fresh frozen plasma (FFP) is correct?
A) FFP is the ideal volume expander for critically injured patients whose blood type is not known. B) FFP is contraindicated in patients with warfarin (Coumadin) toxicity due to the risk of hemolysis. C) FFP must be compatible with the recipient's blood type, but does not have to be Rh compatible. D) FFP should not be administered to patients who require large volumes of other blood products.
The child receiving a transfusion complains of back pain and itching. What is the best initial action by the nurse?
a. Notify the charge nurse. b. Disconnect intravenous lines immediately. c. Give diphenhydramine (Benadryl). d. Clamp off blood and keep line open with normal saline.