HESI Bioterrorism
When a known terrorist airborne event has occurred, victims should be decontaminated prior to entering a field medical facility. Which interventions should be used in the decontamination of clients?
-Outside shower area should be set up. -Client clothing should be removed and sealed in a plastic biohazard bag. -Client hair should be soaped and shampooed several times.
Thomas should include which distinguishing characteristics of small pox in his education session?
-Rash progression is macular, papular, vesicular, and pustular, followed by crusted scab. -Rash is "centripetal" with lesions most abundant on the face and extremities.
When the nurse sets up a vaccination clinic during a smallpox outbreak, which components should be in place?
-Security staff to control the entry to staff and clients. -educational packets, -instructions on the care of vaccination site, security staff, -a medical professional on site to identify clients who are at high risk if they receive the vaccine.
The nurse should include which interventions when planning care for multiple clients in a field medical facility who have contracted the Variola virus?
-Strict airborne infection isolation precautions. -Contact precautions -Place clients in negative pressure room with HEPA filtered exhaust system.
Over the next several months, public health nurses trend data and find a spike in mental illness hospital admissions related to anxiety. A nurse in an outpatient clinic is caring for a client who lost two family members to the smallpox virus. The nurse transcribes a prescription for lorazepam (Ativan) 4 mg tid. The drug is supplied as 2 mg per tablet.How many tablets should the nurse instruct the client take every 8 hours? (Enter numeric value only. If rounding is required, round to the whole number).
2
Which event should alert the nurse to the possibility of a bioterrorism related outbreak?
A rapidly increasing disease incidence among a normally healthy population
If an outbreak of variola virus is suspected, which resource provides current information to the nurse about practice guidelines?
CDC
How should the nurse describe the finding in the client's record?
Macules.
When giving instructions to the UAP, which supply is most important to obtain for the smallpox unit?
N95 respirators
Which action should the nurse take first?
Place the client in an isolation room and institute airborne and contact precautions.
Which client should the nurse visit first?
a 45 y/o male survivor
During a smallpox outbreak, the nurse should be cognizant of which individual who is at highest risk for an adverse reaction to the smallpox vaccination?
a client with HIV
The nurse is planning to administer the smallpox vaccine. Which information should the nurse give the client about the vaccine?
a live vaccinia virus is used in the prep of smallpox vaccine
13. In which location should the nurse set up facilities to care for multiple clients with the variola virus (smallpox)?
an abandoned free standing rehab facility adjacent to the hospital
Which action should the emergency department (ED) nurse take first?
apply gown, gloves, mask
The nurse should be prepared to recognize that which organisms might be used as a potential biological weapon?
botulism, small pox, plague, anthrax
What information should the nurse give to the UAP?
continue to utilize contact and airborne precautions
Which action by the nurse best reduces panic and hysteria among the public?
give directions on where to receive vaccinations and what to do if symptoms occur
Which group of clients should be immunized first?
healthcare workers and first responders to the smallpox outbreak
Which action should the nurse take?
instruct the UAP to turn off the fan
Which medical supportive care intervention by the nurse has the highest priority?
manage the clients airway
It is important for healthcare personnel to recognize the transmission routes of potential biological agents.Which biological agent is at highest risk for person to person transmission?
pneumonic plague
If a client exhibits malaise, fever, headache, vomiting, rigors, and backache, the nurse should recognize the client infected with variola virus is in which phase of infection?
prodromal
What information should the nurse include in the class?
small pox lesions develop synchronously
Nurses should recognize which scenario has the potential for the most widespread damage in the United States?
the nation's largest red meat supplier
When one of the participants in the study asks the nurse what virulence is, how should the nurse reply?
the production of a severe pathologic reaction by the infectious agent
In preparing an educational forum for community members at one of the local churches, the nurse should include what information about communicability of the smallpox virus?
the time from when a rash emerges and sores break open is the most contagious period
Emergency ManagementShelby Johnson, RN, is employed as a charge nurse in the Emergency Department (ED) of a major metropolitan Washington D.C. hospital. She has attended some of Thomas Tackett's continuing education classes on bioterrorism.A client with a temperature of 103° F (39.4° C) and complaints of muscle aches and vomiting is admitted to the ED where Shelby works. The nurse recalls caring for a client the previous day with the same symptoms.Which symptom similarity between the two clients is most important for the nurse to report to the primary healthcare provider at this time?
works for the pentagon
