The nurse suspects the possibility of a bioterrorist attack. Which of the following factors is most likely related to this possibility? (Select all that apply.)
a. A rapid increase in patients presenting with fever or respiratory or gastrointestinal symptoms
b. Lower rates of symptoms among patients who spend time primarily indoors
c. Large number of rapidly fatal cases of patients with presenting symptoms
d. Shortage of personal protective equipment available from central supply
e. An increase in the number of staff calling in sick for their assigned shift
f. Patients with symptoms all coming from one location in the area
ANS: A, B, C, F
A rapid increase in patients presenting with a specific symptom, lower rates of symptoms among individuals indoors, and large numbers of fatalities with these symptoms all coming from one location are triggers that lead the nurse to suspect a bioterrorist attack. A shortage of personal protective equipment and an increase in the number of staff calling in sick can occur and does occur at times in the hospital setting and may have nothing to do with bioterrorism.
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