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 ["C","E","G"]

Explanation

A. Temperature (96.9°F / 36°C) – Mild hypothermia, but not immediately life-threatening; does not require immediate follow-up.

B. Bilirubin (6.2 mg/dL) – Significantly elevated and indicates worsening liver function, but this is expected in cirrhosis and does not require immediate action unless accompanied by signs of acute liver failure.

C. Blood pressure (82/58 mm Hg) – Requires immediate follow-up as this indicates hypotension, which can be due to complications like sepsis, hepatorenal syndrome, or third-spacing from ascites.

D. Scattered ecchymosis – Indicates coagulopathy, which is common in cirrhosis; important but not immediately life-threatening unless active bleeding is present.

E. Ammonia level (78 mcg/dL) – Requires immediate follow-up. This is markedly elevated and correlates with hepatic encephalopathy, especially in the presence of neurologic symptoms.

F. Abdominal girth increase – Suggests worsening ascites; needs management but not as urgent as hemodynamic instability or encephalopathy signs.

G. Asterixis (flapping tremor) – Requires immediate follow-up. This is a classic sign of hepatic encephalopathy, which can progress rapidly and lead to coma if untreated.

A. Nitroglycerin B. Aspirin C. Morphine D. Metoprolol

Correct Answer is C

Explanation

A. Nitroglycerin is used to relieve chest pain but primarily during the acute phase for vasodilation.
B. Aspirin helps prevent clot progression but does not manage pain or anxiety.
C. Morphine is effective in managing pain and anxiety after the initial phase of MI and helps reduce myocardial oxygen demand.
D. Metoprolol (a beta-blocker) reduces heart rate and myocardial workload but is not primarily for pain and anxiety management.

View Question and Answer

A nurse is caring for a client who is admitted to the emergency department for fatigue.

Exhibits

Which 4 findings indicate that the client may be experiencing transplant rejection? (Select all that apply).

View Question and Answer

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cirrhosis of the liver. Exhibits Which of the following assessment findings require immediate follow-up? Select all that apply.

Correct Answer is ["C","E","G"]

Explanation

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Correct Answer is C

Explanation

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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?