A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider. The nurse should advise which to the father?
a. Apply warm compresses.
b. Carefully scrape off stinger.
c. Take child to emergency department.
d. Apply a thin layer of corticosteroid cream.
ANS: C
The venom of the black widow spider has a neurotoxic effect. The father should take the child to the emergency department for treatment with antivenin and muscle relaxants as needed. Warm compresses increase the circulation to the area and facilitate the spread of the venom. The black widow spider does not have a stinger. Corticosteroid cream will have no effect on the venom.
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