Chapter 65 Osborn,_2e

Question 1 Type: MCMA Law enforcement authorities have notified the emergency department that several people who have been exposed to nerve gas will be arriving. The nurse manager alerts the department nursing staff to expect patients with which assessment findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Muscle pain 2. Flaccid paralysis 3. Shortness of breath 4. Miosis 5. Rhinorrhea Correct Answer: 3,4,5 Rationale 1: Muscle pain is typically not a symptom of nerve gas exposure. Rationale 2: Flaccid paralysis is not a symptom of nerve gas exposure. Muscle fasciculations are. Rationale 3: Almost all people affected by a nerve agent have shortness of breath. Rationale 4: Miosis is defined as constricted pupils and is one of the most reliable signs of nerve poisoning. Rationale 5: Almost all people affected by a nerve agent have rhinorrhea, or a runny nose. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 65-2 Question 2 Type: MCMA The emergency department has been notified of a possible Category A biologic exposure in a rural community. When preparing staff for these patients, the nurse manager explains care for victims of which agents? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Botulism 2. Anthrax 3. Plague 4. Tularemia 5. Salmonella Correct Answer: 1,2,3,4 Rationale 1: Botulism is a Category A biologic agent. Rationale 2: Anthrax is a Category A biologic agent. Rationale 3: Plague is a Category A biologic agent. Rationale 4: Tularemia is a Category A biologic agent. Rationale 5: Salmonella is a Category B biologic agent. Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 65-2