What is the nurse's immediate action when a child comes to the emergency department with sweating, chills, and fang bite marks on the thigh?
a. Secure antivenin.
b. Apply a tourniquet to the leg.
c. Ambulate the child.
d. Reassure the child and parent.
A
Antivenin is essential to the child's survival because the child is showing signs of envenomation. The use of a tourniquet is no longer recommended. When a bite or envenomation is located on an extremity, the extremity should be immobilized. Envenomation is a potentially life-threatening condition. False reassurance is not helpful for building a trusting relationship.
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