Author Question: The nurse in the emergency department knows that clients exposed to Clostridium botulinum, an agent ... (Read 148 times)

drink · **on:** Jun 25, 2018

The nurse in the emergency department knows that clients exposed to Clostridium botulinum, an agent of bioterrorism, would likely be exhibiting which of the following clinical manifestations listed below?

A)
Blindness and respiratory distress
B)
Hemorrhage from all orifices resulting in signs of shock and coma
C)
Frothy, odiferous diarrhea and dehydration
D)
Muscle weakness in extremities eventually leading to paralysis of respiratory muscles

Question 2

Following a cardiothoracic surgery, where controlled therapeutic hypothermia was utilized to decrease metabolic demands,

the nurse responsible for recovering this patient should be assessing for which of the following potential complications to cold cardioplegia?
A)
Development of a first-degree AV block
B)
Vasoconstriction resulting in weak pedal pulses, requiring the use of a Doppler
C)
Frequent premature ventricular contractions (PVCs) on the telemetry monitor
D)
Cyanosis in lower extremities with no blanching in the toes

Ahernandez18 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
D

Feedback:

Clostridium botulinum causes neuromuscular paralysis and is listed as a category A agent.

Answer to Question 2

Ans:
C

Feedback:

Potential complications to cold cardioplegia include such signs and symptoms as ventricular dysrhythmias, decreased cerebral blood flow, and postoperative myocardial depression. First-degree AV block is common in patients with heart problems. Vasoconstriction of vessels is an expected effect of cold cardioplegia along with cold, bluish lower extremities.