An inservice program is being offered in the hospital on ...

[Haya94]

An inservice program is being offered in the hospital on bioterrorism and the response of the health care agency. An important aspect of the program is the recognition of the signs and symp-toms of bacterial and viral infections.
 
  A practice drill is held and the nurse recognizes that the clients admitted with possible anthrax will demonstrate:
  1. Abdominal cramping, diarrhea, drooping eyelids, jaw clench, and difficulty swal-lowing
  2. Flulike symptoms, gastrointestinal distress, and papular lesions
  3. Fever, cough, chest pain, and hemoptysis
  4. Vesicular skin lesions on the face and extremities

Question 2

A 79-year-old resident in a long-term care facility is known to wander at night and has fallen in the past. Which of the following is the most appropriate nursing intervention?
 
  1. An abdominal restraint should be placed on the client during sleeping hours.
  2. The client should be checked frequently during the night.
  3. A radio should be left playing at the bedside to assist in reality orientation.
  4. The client should be placed in a room that is away from the activity of the nurses' station.

[mjenn52]

Answer to Question 1

ANS: 2
Clinical features of anthrax include flulike symptoms, gastrointestinal distress, and papular le-sions. Abdominal cramping, diarrhea, drooping eyelids, jaw clench, and difficulty swallowing are clinical features of botulism. Fever, cough, chest pain, and hemoptysis are characteristic of plague. Vesicular skin lesions on the face and extremities are seen with smallpox.

Answer to Question 2

ANS: 2
Alternatives to restraints should be attempted first. (A physician's order is required for restraints to be applied.) The most appropriate intervention is to check on the client frequently. Alternatives to restraints should be attempted first before an abdominal restraint while sleeping.
A radio may help orientate a client to reality. However, the most appropriate intervention for the client who wanders is to check on the client frequently. Clients who wander should be assigned to rooms near the nurses' station and checked on frequently.

[Haya94]

Both answers were spot on, thank you once again

[mjenn52]

Great! Please up vote