When assessing patients who are victims of a chemical agent attack, you know that assessment findings vary based upon the type of chemical agent exposure
The chemical sulfur mustard is an example of what type of chemical warfare agent?
A) Nerve agent
B) Blood agent
C) Pulmonary agent
D) Vesicant
Ans: D
Feedback: Sulfur mustard is a vesicant chemical that causes blistering and results in burning, conjunctivitis, bronchitis, pneumonia, hematopoietic suppression, and death. Nerve agents include sarin, soman, tabun, VX, and organophosphates (pesticides). Hydrogen cyanide is a blood agent that has a direct effect on cellular metabolism, resulting in asphyxiation through alterations in hemoglobin. Chlorine is a pulmonary agent, which destroys the pulmonary membrane that separates the alveolus from the capillary bed.
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The sign that suggests possible damage to the cortex of the brain is ____________ posturing
ANS:
A patient tells the nurse, "My new friend is the most perfect person one could imagine! I can't find a single flaw. He is kind, considerate, handsome—and he puts me before anyone or anything else."
The nurse should hypothesize that this patient may be demonstrating: a. denial. b. projection. c. splitting. d. compensation.
A client with a diagnosis of sepsis has received intravenous immune globulin (IVIG) as a partial treatment. The nurse knows which of the following client responses listed below would best suggest an accurate understanding of IVIG treatment?
A) "These antibodies in the solution have been collected from individuals who have successfully fought off the same infection." B) "The IVIG should help stimulate fever, inflammation, and tissue repair in the fight against the infection." C) "A big part of my IVIG treatment is actually stimulating and supplementing my immune system to do the work itself." D) "The main effect of IVIG is to cause my body to produce more white blood cells to fight infection."
A client is prescribed a cardiotonic medication. Which of the following preadministration assessments should the nurse perform on this client?
A) Inspect joints for swelling. B) Check for jugular vein distention. C) Inspect skin for rash. D) Obtain blood glucose levels.