Author Question: A member of a community disaster response team received the smallpox vaccine 3 weeks ago and sees a ... (Read 76 times)

tiffannnnyyyyyy · **on:** Jul 23, 2018

A member of a community disaster response team received the smallpox vaccine 3 weeks ago and sees a nurse for a follow-up appointment. The nurse examines the area and should expect to see a:

a. necrotic vesicle.
b. small area of scarification.
c. small, fluid-filled blister.
d. red bump.

Question 2

Terrorists have detonated a dirty bomb in a shopping center. Nurses are called to the site to assist with triage of victims. Besides treating injuries incurred from the blast itself, the priorities for treatment for most of the victims will include:

a. administering potassium iodide as soon as possible.
b. giving Prussian blue and monitoring electrolytes.
c. monitoring urine and stool samples for radioactivity.
d. removing clothing and bathing victims.

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

Answer to Question 1

ANS: B
With smallpox vaccination, the scab falls off in the third week, leaving a small scar; the nurse should expect to see a scar. A necrotic vesicle would be a symptom of progressive vaccinia (vaccinia necrosum), which develops almost exclusively in those who are immunodeficient. There is progressive necrosis at the inoculation site. During the first week after inoculation, the bump becomes a blister, which begins to dry and develop a scab. Within 3 to 4 days of administration of the vaccine, a red, itchy bump appears.

Answer to Question 2

ANS: D
The primary danger from a dirty bomb is the blast itself, and not the radiation, since dispersal of the radiation is limited to a relatively small area. Persons exposed should remove clothing as soon as possible and then decontaminate the skin by showering or bathing. Since dirty bombs do not release iodine-131, taking potassium iodide is of no benefit. Prussian blue is used to hasten excretion of radioactive cesium and radioactive and non-radioactive thallium. Patients treated with Prussian blue should have close monitoring of stools and urine.