Pre test 9

what is the characteristic feature of minimal envenomation?

Local swelling

A provider prescribes a rewarming bath for a client who presents with partial-thickness frostbite. Which action should the nurse take prior to starting this treatment?

Administer intravenous morphine.

A client presents to the emergency department after prolonged exposure to the cold. The client is difficult to arouse and speech is incoherent. Which action should the nurse take first?

Administer warmed intravenous fluids to the client.

The nurse is teaching a community health class about water safety. Which statement by a participant indicates that additional teaching is needed?

"I can go swimming all by myself because I am a certified lifeguard."

The nurse is teaching a client with severe allergies how to prevent bug bites. Which statement by the client indicates that additional teaching is needed?

"I will wear sandals whenever I go outside."

An emergency department nurse moves to a new city, where heat-related illnesses are common. Which clients should the nurse anticipate as at higher risk for heat-related illness? (Select all that apply.)

-Homeless individuals -Illicit drug users -Older adults

which patient is at risk for coagulopathy?

Brown recluse spider

While on a camping trip, a nurse cares for an adult client who had a drowning incident in a lake and is experiencing agonal breathing with a palpable pulse. Which action should the nurse take first?

Deliver rescue breaths.

A client presents to the emergency department after prolonged exposure to the cold. The client is shivering, has slurred speech, and is slow to respond to questions. Which treatment will the nurse prepare for this client?

Dry clothing and warm blankets

An emergency department nurse assesses a client admitted after a lightning strike. Which assessment should the nurse complete first?

Electrocardiogram (ECG)

The nurse is assessing a client recently bitten by a coral snake. Which assessment is the priority?

Respiratory rate and depth

The nurse is teaching a wilderness survival class. Which statement by a participant indicates that additional teaching is needed?

"If I get too cold, I can have some brandy to help me get warmed up."

The nurse is assessing a group of clients. Which clients are at greater risk for hypothermia or frostbite? (Select all that apply.)

-A young man who has just consumed six martinis -An older man who smokes a pack of cigarettes a day -A young woman who is anorexic -A young woman who is diabetic

A nurse teaches a client who has severe allergies to prevent bug bites. Which statements should the nurse include in this clients teaching? (Select all that apply.)

-Consult an exterminator to control bugs in and around your home. -Do not swat at insects or wasps. -Use screens in your windows and doors to prevent flying insects from entering.

A nurse is providing health education at a community center. Which instructions should the nurse include in teaching about prevention of lightning injuries during a storm?

-Seek shelter inside a building or vehicle. -Do not take a bath or shower. -Turn off the television. -Put down golf clubs or gardening tools.

The nurse is providing health education at a community center. Which instructions should the nurse include in teaching about prevention of lightning injuries during a storm? (Select all that apply.)

-Seek shelter inside a building or vehicle. -Do not take a bath or shower. -Turn off the television. -Put down golf clubs or gardening tools.

the nurse who is part of a hiking group is explaining the methods used to prevent snakebites. What teaching does the nurse provide to the group?

-Use a walking stick or trekking poles -use hikes during the morning hours -wear boots, heavy pants, and leather gloves, inspect suspicious areas before walking over them

A nurse is teaching a wilderness survival class. Which statements should the nurse include about the prevention of hypothermia and frostbite?

-Wear synthetic clothing instead of cotton to keep your skin dry. -Wear sunglasses to protect skin and eyes from harmful rays. -Know your physical limits. Come in out of the cold when limits are reached.

5. An emergency department nurse plans care for a client who is admitted with heat stroke. Which interventions should the nurse include in this clients plan of care? (Select all that apply.)

-a. Administer oxygen via mask or nasal cannula. -Infuse 0.9% sodium chloride via a large-bore intravenous cannula. e-Obtain baseline serum electrolytes and cardiac enzymes.

The nurse is caring for a client who had a near-drowning incident in a lake. Which action will the nurse take to monitor for possible complications?

Assess the client's temperature every 4 hours.

The emergency department nurse assesses a middle-aged mountain climber who reports headache, nausea, vomiting, and "feeling winded." What is the nurse's priority intervention?

Administer acetazolamide (Diamox).

A community nurse assesses a client, who has an allergy to bees, after a bee sting. The client's lips are swollen, and wheezes are audible. What is the priority action of the nurse?

Administer an EpiPen from the first aid kit and call 911.

While at a public park, a nurse encounters a person immediately after a bee sting. The persons lips are swollen, and wheezes are audible. Which action should the nurse take first?

Administer an EpiPen from the first aid kit and call 911.

what is the first intervention to be performed for a patient bitten by a black widow spider?

Apply an icepack to decrease action of neurotoxin

The emergency department nurse assesses a client in extreme pain with an apparent snakebite of the leg. Vital signs are stable. What is the priority action of the nurse?

Apply an immobilization splint.

what first aid measure is appropriate for a brown recluse spider bite?

Apply ice intermittently

While on a camping trip, the nurse provides care for a camper who was bitten by a black widow spider. What is the priority action of the nurse?

Apply ice to the site of the bite.

which immediate interventions should be provided to the patient who presents with a wheal and flare and tongue swelling following a bee sting?

Applying ice pack, removing the stinger, administering epinephrine

12. A provider prescribes Crotalidae Polyvalent Immune Fab (CroFab) for a client who is admitted after being bitten by a pit viper snake. Which assessment should the nurse complete prior to administering this medication?

Ask about allergies to pineapple or papaya.

The nurse is caring for a drowning victim after resuscitation. What focused assessment will the nurse perform to identify complications from drowning?

Auscultation of lungs

8. A nurse assesses a client recently bitten by a coral snake. Which assessment should the nurse complete first?

Cardiopulmonary status

while on the school playground, a child is stung by a bee, resulting in redness and swelling. The school nurse is nearby when it happens. What does the nurse do first?

Gently scrapes out the stinger with a credit card

While the nurse is visiting the community pool, an adult swimmer is pulled out of the pool, unconscious and cyanotic. What is the priority action of the nurse?

Give two rescue breaths.

The nurse working at a first aid booth during a summer marathon sees several runners. Which runner should be seen first? A runner who:

Has fallen several times

On a hot, humid day, several clients present to the emergency department with symptoms of heat exposure. Which client will be treated first? A client who:

Is anxious and confused

A provider prescribes diazepam (Valium) to a client who was bitten by a black widow spider. The client asks, What is this medication for? How should the nurse respond?

It will relieve your muscle rigidity and spasms.

which condition is an indication of a brown recluse spider's bite?

Joint pain

11. A nurse assesses a client admitted with a brown recluse spider bite. Which priority assessment should the nurse perform to identify complications of this bite?

Monitor the clients temperature every 4 hours.

A nurse is at the scene of a lightning strike during a thunderstorm. Which is the priority action of the nurse?

Move victims and first aid responders to a sheltered area.

After teaching a client how to prevent altitude-related illnesses, a nurse assesses the clients understanding. Which statement indicates the client needs additional teaching?

My partner and I will plan to sleep at a higher elevation to acclimate more quickly.

The nurse is working in the emergency department on a hot, humid day, when a hiker is brought in after collapsing. The hiker is confused and tachycardic with a temperature of 105.6° F (40.9° C). Which IV solution and medication will the nurse have ready for the client?

Normal saline and lorazepam (Ativan)

The nurse is assessing a client admitted with a brown recluse spider bite. What priority assessment should the nurse perform?

Obtain the client's temperature.

The nurse is providing emergency care to a client with frostbite. Which intervention is performed first?

Rewarm the affected area in a 104° F water bath.

The nurse is working at a first aid booth for a spring training game on a hot day. A spectator comes in, reporting that he is not feeling well. Vital signs are temperature 104.1° F (40.1° C), pulse 132 beats/min, respirations 26 breaths/min, and blood pressure 106/66 mm Hg. He trips over his feet as the nurse leads him to a cot. What is the priority action of the nurse?

Sponge the victim with cool water and remove his shirt.

On a hot humid day, an emergency department nurse is caring for a client who is confused and has these vital signs: temperature 104.1 F (40.1 C), pulse 132 beats/min, respirations 26 breaths/min, blood pressure 106/66 mm Hg. Which action should the nurse take?

Start an intravenous line and infuse 0.9% saline solution.

The nurse is planning care for a client admitted with a snakebite to the right leg. With whom should the nurse collaborate?

The regional poison control center

An emergency department nurse cares for a middle-aged mountain climber who is confused and exhibits bizarre behaviors. After administering oxygen, which priority intervention should the nurse implement?

a. Administer dexamethasone (Decadron). NTH, Mr.. Test bank Medical Surgical Nursing 9th Edition 2017: Test bank (p. 135). Kindle Edition.

which arthropod bite results in a dark and necrotic wound eschar ?

brown recluse spider

what is the clinical sign of a bite from a pit viper?

seizures