An emergency department nurse should suspect a possible bioterrorist agent if, during the Fourth of July weekend, the nurse notices which of the following?
a. Three patients arrive complaining of ab-rupt onset of severe myalgia, fever, sore throat, and headache.
b. Four patients, all from the same family picnic, arrive complaining of abdominal pain and nausea, vomiting, and diarrhea.
c. Two patients arrive from the local lake complaining of tiredness, weakness, diz-ziness, muscle cramps, and headache.
d. Two patients arrive from a local concert with superficial burns on the faces, necks, arms, and legs and complaining of pain in these areas. They are tachycardic and ap-pear dehydrated.
A
Symptoms of influenza in July are not a normal occurrence and should be investigated further. Bioterrorist agents are usually not endemic to an area (patients coming from the same location [e.g., local lake or local concert]). Having GI symptoms after a picnic more than likely is a foodborne pathogen.
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