Question 1

The nurse is caring for several clients who sustained chemical injuries. Which statement related to chemical injuries does the nurse understand to be true? Select all that apply.

Accepted Answer

B, C

Question 2

The nurse is caring for a client with known exposure to a biologic agent. The nurse understands that which bacterial agents are most commonly weaponized? Select all that apply.

Accepted Answer

A, C, D

Question 3

An occupational health nurse is teaching employees about chemical agents. Which statement does the nurse include in the material?

Accepted Answer

Chemical agents are classified into several groups based on their nature or clinical effect, which is important for understanding their potential impact and necessary precautions.

Question 4

The nurse is caring for a client with exposure to an unknown chemical agent. The client asks, "Why can't a lab test be done to determine which agent I was exposed to?" What is the nurse's best response?

Accepted Answer

The answer of The nurse is caring for a client...

Question 5

The nurse is preparing to assess a client injured during a large-scale disaster for signs of exposure to hazardous agents and resulting injury. Which common manifestations of injuries due to biological, chemical, and radiologic agents does the nurse identify? Select all that apply.

Accepted Answer

The answer of The nurse is preparing to assess a...

Question 6

The nurse is caring for a client with confirmed anthrax exposure. Which statements about the mechanism of injury occurring with anthrax exposure does the nurse know to be true? Select all that apply.

Accepted Answer

The answer of The nurse is caring for a client...

Question 7

The nurse is assessing a client exposed to an unknown biologic agent. Which symptoms would cause the nurse to suspect gastrointestinal anthrax exposure? Select all that apply.

Accepted Answer

The answer of The nurse is assessing a client exposed...

Question 8

The nurse is teaching a community health class about anthrax exposure and prevention. Which statement will the nurse include in the material?

Accepted Answer

Treatment for known exposure to anthrax includes vaccination and antibiotics to prevent the disease from developing.

Question 9

A nurse performing medical outreach in a developing country is assessing a client for signs and symptoms of bubonic plague. Which finding does the nurse know is characteristic of this condition?

Accepted Answer

Bubonic plague is characterized by swollen lymph nodes, known as buboes, which are typically painful and can occur in the groin, armpit, or neck.

Question 10

The nurse is teaching a community health class about the history of smallpox. Which statements does the nurse include in the material? Select all that apply.

Accepted Answer

Smallpox was declared eradicated in 1980, but the last natural outbreak was in 1977. Before eradication, smallpox had a high mortality rate of 30-50%.

Question 11

The nurse is educating a group of industrial workers about the mechanism of injury by nerve agents. Which statement will the nurse include in the teaching?

Accepted Answer

Nerve agents inhibit acetylcholinesterase, leading to an accumulation of acetylcholine at synapses, causing continuous stimulation of muscles, glands, and central nervous system.

Question 12

The nurse is caring for a client exhibiting diarrhea, bradycardia, emesis, and salivation. The nurse understands that these findings are consistent with what mechanism?

Accepted Answer

The symptoms of diarrhea, bradycardia, emesis, and salivation are consistent with overstimulation of muscarinic receptors, which are part of the parasympathetic nervous system and can lead to increased secretions and decreased heart rate.

Question 13

The nurse is collecting the medical history of a client with exposure to a nerve agent. Which assessment findings does the nurse understand are associated with inhalation of a nerve agent? Select all that apply.

Accepted Answer

The answer of The nurse is collecting the medical history...

Question 14

The nurse is educating a group of industrial employees on the importance of decontamination following exposure to a vesicant. Which statement will the nurse include in the material?

Accepted Answer

Victims may not be aware when exposure and injury has occurred because vesicants can cause delayed symptoms, and the damage may not be immediately apparent.

Question 15

The nurse is caring for a client with cyanide poisoning. Which statement about the mechanism of injury in this client does the nurse know to be true? Select all that apply.

Accepted Answer

Cyanide binds with cytochrome a3, preventing the use of oxygen by cellular mitochondria and halting ATP production.

Question 16

The nurse is caring for a client with radiation poisoning. Which forms of energy does the nurse understand to be common causes of radiation poisoning? Select all that apply.

Accepted Answer

The answer of The nurse is caring for a client...

Question 17

The nurse is assessing a client in the prodromal phase of radiation sickness. Which assessment findings does the nurse anticipate? Select all that apply.

Accepted Answer

The answer of The nurse is assessing a client in...

Question 18

The nurse is caring for a client recovering from radiation sickness. Which factors does the nurse know will affect the ultimate outcome for this client? Select all that apply.

Accepted Answer

The answer of The nurse is caring for a client...

Question 19

The nurse is educating a client who has experienced radiation exposure. The client asks, "What type of exposure is most likely to lead to cancer?" What is the nurse's response?

Accepted Answer

Incorporation, where radioactive material is taken up by the body's organs, poses a higher risk for cancer development due to prolonged exposure and interaction with body tissues.

Question 20

The nurse is reviewing prescriptions for a client with acute radiation syndrome. Which prescription will the nurse verify with the healthcare provider before proceeding?

Accepted Answer

Magnesium hydroxide is a laxative and may not be appropriate for gastrointestinal prophylaxis in acute radiation syndrome, which can cause severe gastrointestinal symptoms. The nurse should verify this prescription with the healthcare provider.

Quiz 52: Biologic, Chemical, and Radiologic Agents of Disease

The nurse is caring for several clients who sustained chemical injuries. Which statement related to chemical injuries does the nurse understand to be true? Select all that apply.

The nurse is caring for a client with known exposure to a biologic agent. The nurse understands that which bacterial agents are most commonly weaponized? Select all that apply.

An occupational health nurse is teaching employees about chemical agents. Which statement does the nurse include in the material?

The nurse is caring for a client with exposure to an unknown chemical agent. The client asks, "Why can't a lab test be done to determine which agent I was exposed to?" What is the nurse's best response?

The nurse is preparing to assess a client injured during a large-scale disaster for signs of exposure to hazardous agents and resulting injury. Which common manifestations of injuries due to biological, chemical, and radiologic agents does the nurse identify? Select all that apply.

The nurse is caring for a client with confirmed anthrax exposure. Which statements about the mechanism of injury occurring with anthrax exposure does the nurse know to be true? Select all that apply.

The nurse is assessing a client exposed to an unknown biologic agent. Which symptoms would cause the nurse to suspect gastrointestinal anthrax exposure? Select all that apply.

The nurse is teaching a community health class about anthrax exposure and prevention. Which statement will the nurse include in the material?

A nurse performing medical outreach in a developing country is assessing a client for signs and symptoms of bubonic plague. Which finding does the nurse know is characteristic of this condition?

The nurse is teaching a community health class about the history of smallpox. Which statements does the nurse include in the material? Select all that apply.

The nurse is educating a group of industrial workers about the mechanism of injury by nerve agents. Which statement will the nurse include in the teaching?

The nurse is caring for a client exhibiting diarrhea, bradycardia, emesis, and salivation. The nurse understands that these findings are consistent with what mechanism?

The nurse is collecting the medical history of a client with exposure to a nerve agent. Which assessment findings does the nurse understand are associated with inhalation of a nerve agent? Select all that apply.

The nurse is educating a group of industrial employees on the importance of decontamination following exposure to a vesicant. Which statement will the nurse include in the material?

The nurse is caring for a client with cyanide poisoning. Which statement about the mechanism of injury in this client does the nurse know to be true? Select all that apply.

The nurse is caring for a client with radiation poisoning. Which forms of energy does the nurse understand to be common causes of radiation poisoning? Select all that apply.

The nurse is assessing a client in the prodromal phase of radiation sickness. Which assessment findings does the nurse anticipate? Select all that apply.

The nurse is caring for a client recovering from radiation sickness. Which factors does the nurse know will affect the ultimate outcome for this client? Select all that apply.

The nurse is educating a client who has experienced radiation exposure. The client asks, "What type of exposure is most likely to lead to cancer?" What is the nurse's response?

The nurse is reviewing prescriptions for a client with acute radiation syndrome. Which prescription will the nurse verify with the healthcare provider before proceeding?