A client is brought to the emergency department with acute ...

[jon_i]

A client is brought to the emergency department with acute poisoning from an unknown powdered agent on the skin. Which of the general principles of treating poisonings does the nurse follow first?
 
  1. Topical decontamination
  2. Prevention of absorption
  3. Neutralization
  4. Increase in rate of excretion

Question 2

A client is believed to have been exposed to the variola virus while working in a laboratory. What should the nurse assess before administering the vaccination to this client?
 
  Standard Text: Select all that apply.
  1. White blood cell count
  2. HIV status
  3. History of eczema
  4. Allergy to antibiotics
  5. Blood pressure and heart rate

[yuyiding]

Answer to Question 1

Correct Answer: 1
Rationale 1: The client's clothes are removed and the skin and eyes flushed to remove the agent.
Rationale 2: This could be the administration of an adsorbent (activated charcoal), whole-bowel irrigation, induction of vomiting, or gastric lavage.
Rationale 3: This could be the administration of an acid or base, depending on the client's symptoms.
Rationale 4: This could be the administration of diuretics, peritoneal or extracorporeal dialysis, and ion trapping.
Global Rationale: The first step in this process is to decontaminate the patient. The remaining actions are taken after this decontamination has begun.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Smallpox vaccinations are contraindicated for persons with an impaired immune system, which would be assessed by the client's current white blood cell count.
Rationale 2: Smallpox vaccinations are contraindicated for persons with impaired immune systems, such as those who are HIV positive.
Rationale 3: Smallpox vaccinations are contraindicated for persons with eczema.
Rationale 4: Antibiotics are not used to treat exposure to smallpox.
Rationale 5: Abnormal blood pressure and heart rate are not contraindications for the use of the smallpox vaccination.
Global Rationale: Smallpox vaccinations are contraindicated for persons with an impaired immune system, which would be assessed by the client's current white blood cell count. They are not indicated for those with HIV or with eczema. Antibiotics are not first line drugs to treat smallpox exposure. Abnormal blood pressure and heart rate are not contraindications for the use of the smallpox vaccination.

[jon_i]

Thank you!

[yuyiding]

Always glad to help...