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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Epinephrine is important but given after defibrillation attempts during cardiac arrest.
B. Intubation is necessary for airway management but follows immediate defibrillation.
C. Amiodarone is used for refractory ventricular fibrillation after defibrillation attempts.
D. Defibrillation is the priority and most effective immediate treatment for ventricular fibrillation to restore a perfusing rhythm.
Correct Answer is D
Explanation
A. Continuing to monitor the client is not appropriate because the lack of bubbling in the suction control chamber indicates that the expected negative pressure may not be present.
B. Adding more water is not the priority until verifying that the suction system is functioning correctly and that there are no leaks in the tubing.
C. Milking the chest tube is typically reserved for situations when there is evidence of a blockage from clots; however, the absence of bubbling is more indicative of a suction malfunction rather than a clogged tube.
D. The lack of bubbling in the suction control chamber suggests that negative pressure may not be maintained, so the nurse should first ensure the suction regulator is set correctly and inspect the tubing for any disconnections or leaks that could disrupt the system's function.
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