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 ["2"]
Explanation
Step 1: Convert the ordered dose to mg
0.2 g × 1000 = 200 mg
Step 2: Determine the number of capsules
Number of capsules = Desired dose ÷ Strength per capsule
Number of capsules = 200 ÷ 100 = 2
Final Answer: 2 capsules
Correct Answer is A
Explanation
A. Vaccination is the primary prevention for pertussis (whooping cough). Infants receive the DTaP series starting at 2 months of age, which provides protection against the disease. Ensuring timely immunizations is the most effective method to protect the baby.
B. Maternal immunity is partial and short-lived, typically waning within the first few months of life. It does not provide protection until 18 months, so relying on maternal antibodies alone is inadequate.
C. Prophylactic antibiotics for contacts are recommended only in specific exposure situations, not as routine protection. Vaccination remains the main preventive measure.
D. Prescribing erythromycin is used for treatment or post-exposure prophylaxis in certain cases but is not a primary preventive strategy for all infants.
E. Waiting until the baby develops symptoms does not prevent infection and may result in severe illness, especially since infants are at high risk for complications from pertussis.
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