Author Question: Notice has been received that smallpox virus was aerosolized at a parade attended by thousands of ... (Read 62 times)

nummyann · **on:** Jul 23, 2018

Notice has been received that smallpox virus was aerosolized at a parade attended by thousands of people. The nurse working in the emergency department explains that the vaccine for this virus provides a high level of protection if given within _____ days of exposure. Standard Text: Record your answer rounding to the nearest whole number.

Fill in the blank(s) with correct word

Question 2

The older adult is receiving ethacrynic acid (Edecrin) and tells the nurse he doesn't hear as well as he used to. What is the best response by the nurse?

1. You may be dehydrated; are you drinking enough fluid?
2. I will let your doctor know about this; it could be a side effect of your medication.
3. How long have you been having difficulty hearing?
4. I will schedule a hearing exam; this could be a side effect of your medication.

verrinzo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

3
Rationale: The variola vaccine provides a high level of protection if given prior to exposure or up to 3 days after exposure.
Global Rationale: The variola vaccine provides a high level of protection if given prior to exposure or up to 3 days after exposure.

Answer to Question 2

2
Rationale 1: Ototoxicity is not related to dehydration.
Rationale 2: Loop diuretics are ototoxic. Instruct the patient to report ringing in the ears or becoming hard of hearing and notify the physician.
Rationale 3: Asking the patient about how long he has had the hearing loss is a good question, but the nurse must always report suspected side effects to the physician.
Rationale 4: It is inappropriate to schedule a hearing exam unless drug toxicity has been ruled out.
Global Rationale: Loop diuretics are ototoxic. Instruct the patient to report ringing in the ears or becoming hard of hearing and notify the physician. It is inappropriate to schedule a hearing exam unless drug toxicity has been ruled out. Asking the patient about how long he has had the hearing loss is a good question, but the nurse must always report suspected side effects to the physician. Ototoxicity is not related to dehydration.