A mother takes her young child to an urgent care clinic ...

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A mother takes her young child to an urgent care clinic requesting the shot you get to prevent rabies, as her son was bitten by a wild raccoon. What is the appropriate response by the nurse?
 
  1. Care of a bite victim includes a series of immunizations on the day of exposure and on days 3, 7, 14, and 28 after exposure.
  2. The animal needs to be quarantined first, to determine if it has rabies, before immunizations are started.
  3. Your child will need penicillin because the wound can easily become infected.
  4. Wait a week to see if your child develops any symptoms. Then the immunization will be given.

Question 2

A patient is admitted to the hospital with a suspected case of botulism. The nurse recognizes that which situation likely caused this infection?
 
  1. The patient ate food contaminated with the toxin.
  2. The patient came in contact with someone who had botulism.
  3. The patient was injected with the poison.
  4. The patient had a dirty wound that became infected with the toxin.

[mcabuhat]

Answer to Question 1

Correct Answer: 1
Rabies is carried by wild and domestic animals, including raccoons. Rabies is almost always fatal; therefore treatment of bite victims should be considered an emergency. Immunizations are given on the day of exposure and on days 3, 7, 14, and 28 after exposure. Immunizations should be initiated even if it is not known if the animal was infected, but the animal should be quarantined for 710 days to detect rabies manifestations. The wound should be thoroughly cleansed and flushed to remove any animal saliva and dilute viral exposure. Penicillin is not used to treat the wound.

Answer to Question 2

Correct Answer: 1
Botulism is food poisoning that takes several hours to develop after ingesting contaminated food such as improperly canned or cooked foods and especially home-canned vegetables and fruits, smoked meats, and vacuum-packed fish. It is unlikely that the patient was injected with the bacteria. Botulism is not contagious and does not result from an infected wound.

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Excellent

[amcvicar]

TYSM