A nurse in a physician's office receives a telephone call from the mother of a child who tells the nurse that the child was just stung by a bee. The mother asks the nurse for instructions regarding removal of the stinger. Which of the following instructions should the nurse provide to the mother?
Squeeze the stinger out of the skin.
Wash the area with soap and water and apply heat to help the stinger move out of the skin.
Remove the stinger by carefully scraping it out horizontally.
Leave the stinger alone because it will dissolve.
The Correct Answer is C
A. Squeezing the stinger can force additional venom from the venom sac into the skin, increasing pain, swelling, and the risk of a more severe local or systemic reaction.
B. Washing the area with soap and water is important to reduce the risk of infection, but applying heat to “help the stinger move out” is not effective and could irritate the skin.
C. The recommended method is to carefully scrape the stinger out horizontally with a flat object, such as a credit card or fingernail. This removes the stinger quickly while minimizing additional venom injection and tissue trauma.
D. Leaving the stinger in place allows continued venom release, which can prolong swelling, redness, pain, and increase the risk of systemic reactions, particularly in children sensitive to bee venom.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Returning to school solely based on a normal temperature is insufficient because the child can still spread the virus if lesions are not crusted.
B. Waiting until lesions have completely faded is unnecessary; contagion risk ends when lesions are crusted over.
C. The child is considered no longer contagious once all lesions have crusted. At this point, the virus is no longer easily transmitted to others, making it safe to return to school.
D. The timing of 10 days after onset is variable and not a reliable indicator of non-contagiousness, as lesion progression differs among children.
Correct Answer is B
Explanation
- G (Gravida): Total number of pregnancies, including the current one. The client has had four pregnancies (elective abortion, twins, spontaneous abortion, and current pregnancy) → 4.
- T (Term births): Births at ≥37 weeks. The twins were born at 36 weeks → 0.
- P (Preterm births): Births between 20–36 weeks. Twins at 36 weeks → 1.
- A (Abortions): Spontaneous or elective abortions before 20 weeks. Elective abortion at 9 weeks and spontaneous abortion at 15 weeks → 2.
- L (Living children): Number of living children. The twins survived → 2.
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