When administering antivenin to a client bitten by a rattlesnake, the nurse should:
a. apply a tourniquet distal to the site of the bite.
b. apply a tourniquet proximal to the site of the bite.
c. observe the client for pain, swelling, or shortness of breath.
d. administer 1 vial of antivenin intravenously every 10 minutes.
ANS: C
Feedback
A Incorrect: Tourniquets are no longer considered standard practice for snake bites.
B Incorrect: Tourniquets are no longer considered standard practice for snake bites.
C Correct: These are manifestations indicating more antivenin may be needed.
D Incorrect: This is not the appropriate administration schedule.
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