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

a. Peripheral edema and swelling
b. Evaluation of clotting times
c. Respiratory rate and depth
d. Electrocardiogram rhythm


C
Manifestations of coral snake envenomation are the result of its neurotoxic properties. The phy-siologic effect is to block neurotransmission, which produces ascending paralysis, reduced per-ception of pain, and, ultimately, respiratory paralysis. The nurse should monitor for respiratory rate and depth. Severe swelling and clotting problems do not occur with coral snakes but do oc-cur with pit viper snakes. Electrocardiogram rhythm is not affected by neurotoxins.

Nursing

You might also like to view...

A nurse who is providing education spends more time being quiet than giving information. Which of the following best explains this behavior?

a. The nurse had previously reviewed the day's material. b. The nurse is demonstrating respect for the participants. c. The nurse is encouraging group discussion. d. The nurse is listening to the group's dialogue to identify problems.

Nursing

The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death?

a. Preschoolers b. Young school age c. Middle school age d. Late school age and adolescents

Nursing

Composing a reconstructed story is what phase of inquiry in Story Theory?

A. Phase 1 B. Phase 2 C. Phase 3 D. Phase 4

Nursing

The nurse is planning care for an individual diagnosed with borderline personality disorder. The nurse realizes that interventions will have to be focused on which of the following behaviors?

A) Not being able to make decisions B) Withdrawal and isolation C) Desire for order and perfection D) Acting out when feeling abandoned or disrespected

Nursing