A hospital unit is participating in a bioterrorism drill. A ...

[TVarnum]

A hospital unit is participating in a bioterrorism drill. A client is admitted with inhalation anthrax. Under what type of precautions does the charge nurse admit the client?
 
  a. Airborne Precautions
  b. Contact Precautions
  c. Droplet Precautions
  d. Standard Precautions

Question 2

A client is hospitalized and on multiple antibiotics. The client develops frequent diarrhea. What action by the nurse is most important?
 
  a. Consult with the provider about obtaining stool cultures.
  b. Delegate frequent perianal care to unlicensed assistive personnel.
  c. Place the client on NPO status until the diarrhea resolves.
  d. Request a prescription for an anti-diarrheal medication.

[Mholman93]

Answer to Question 1

ANS: D
Only Standard Precautions are needed. No other special precautions are required for the client because inhalation anthrax is not spread person to person.

Answer to Question 2

ANS: A
Hospitalized clients who have three or more stools a day for 2 or more days are suspected of having infection with Clostridium difficile. The nurse should inform the practitioner and request stool cultures. Frequent perianal care is important and can be delegated but is not the priority. The client does not necessarily need to be NPO; if the client is NPO, the nurse ensures he or she is getting appropriate IV fluids to prevent dehydration. Anti-diarrheal medication may or may not be appropriate, and the diarrhea serves as the portal of exit for the infection.

[TVarnum]

Excellent

[Kedrick2014]

TYSM