A nurse is teaching a group of clients about emergency care for a snake bite. Which of the following information should the nurse include in the teaching?

Apply a tourniquet to the affected extremity.

Raise the affected extremity above the level of the heart.

Start two large bore IV's

Apply ice to the bite area.

Answer and Explanation

The Correct Answer is C

A. Applying a tourniquet is not recommended as it can cause tissue damage.
B. The affected extremity should be kept at or below the level of the heart to slow venom spread, not raised.
C. Starting two large-bore IVs is important for fluid resuscitation and administration of antivenom if needed.
D. Applying ice is not advised as it can worsen tissue injury.

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Correct Answer is B

Explanation

A. Clients with ARDS often require careful fluid management to avoid fluid overload; oral fluids may be restricted or monitored.
B. Prone positioning, often with kinetic therapy beds, improves oxygenation by enhancing ventilation-perfusion matching in ARDS patients.
C. Tube feedings are usually continued to maintain nutrition even while the client is intubated.
D. Low flow oxygen can be used initially, but many ARDS clients require high-flow oxygen or mechanical ventilation.

A. Evaluate the client for other injuries. B. Open the client's airway using the head tilt-chin lift. C. Open the client's airway using the jaw-thrust maneuver. D. Place the client in a rigid cervical collar.

Correct Answer is B

Explanation

A. Evaluating for other injuries is important but not the immediate priority.
B. If no cervical spine injury is suspected, the head tilt-chin lift is the recommended method to open the airway first in an apneic client.
C. The jaw-thrust maneuver is used when cervical spine injury is suspected to avoid neck movement.
D. Applying a rigid cervical collar is not necessary if no cervical injury is suspected.

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A nurse is teaching a group of clients about emergency care for a snake bite. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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