A patient comes to a clinic with a large, fluid-filled vesicle on his right hand. The nurse practitioner diagnoses cutaneous anthrax and prescribes an antibiotic
Which statement by the patient demonstrates a need for further teaching by the nurse? "I should anticipate
a. being on this antibiotic for 60 days."
b. that the area will be itchy, and I should not scratch it."
c. that the lesion will scab over and fall off within 2 weeks."
d. that I may develop a systemic infection."
ANS: D
The patient is highly unlikely to develop a systemic infection, because he will be taking an antibiotic. This statement indicates a need for further teaching.
The patient should take the antibiotic for 60 days; no further teaching is required.
The area will be itchy, and the patient should not scratch it: no further teaching is needed.
Seven to 10 days after the onset of symptoms, a black eschar (scablike structure) forms, which dries, loosens, and sloughs off by day 12 to 14; no further teaching is needed.
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