A patient is admitted to the emergency department after having been bitten on the hand by a black widow spider. Which nursing intervention should the nurse initiate?
a. Monitor for respiratory distress.
b. Wrap the hand in a warm compress.
c. Seat the patient upright in a chair.
d. Elevate the patient's hand above his or her heart.
A
Neurotoxins frequently cause anaphylaxis with severe respiratory distress and seizure. Therefore, the patient should be protected from falls, and the hand kept cool and below the heart to delay the spread of the toxin.
You might also like to view...
A nurse is assessing a client's body temperature. For which of the following clients could the nurse obtain an accurate body temperature at the oral site?
A) A client who is very young B) A client after an oral surgery C) A client who is confused and talkative D) A client with a nasogastric tube in situ
Building on a success of the Millennium Development Goals, the community health nurse can work for health status improvement in sub-Saharan Africa by lobbying:
A) Aid foundations for more food supplies B) US banks to offer more microloans to women C) Agricultural corporations to farm the land D) Local communities to fight for democracy
Qualitative research by Ugarriza (2002) looked at how elderly women experience and view depression. The symptoms that the informants in this study emphasized MOST were:
a. feelings of guilt and worthlessness b. fatigue and weakness c. weight loss and anorexia d. suicidal ideation and lack of a sense of future
The goal of the Omaha system was to
a. Develop an evaluation system of client care outcomes b. Develop a structured and comprehensive system that could be understood and used by multiple disciplines c. Provide clinical mentoring d. Provide the visiting nurse service with a client tracking system to be used to validate quality care