A nurse assesses a client admitted with a brown recluse spider bite. Which priority assessment should the nurse perform to identify complications of this bite?
a. Ask the client about pruritus at the bite site.
b. Inspect the bite site for a bluish purple vesicle.
c. Assess the extremity for redness and swelling.
d. Monitor the client's temperature every 4 hours.
ANS: D
Fever and chills indicate systemic toxicity, which can lead to hemolytic reactions, kidney failure, pulmonary edema, cardiovascular collapse, and death. Assessing for a fever should be the nurse's priority. All other symptoms are normal for a brown recluse bite and should be assessed, but they do not provide information about complications from the bite, and therefore are not the priority.
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Which of the following describes proxemics?
a. Study of relationship between message and topic at hand b. Study of implied meanings within individuals c. Study of an individual's use of space d. Study of the emotional personal space boundary
Which strategy started by managed care is now the most important strategy used to try to manage outcomes?
1. Formularies 2. Provider performance 3. Efficiency management 4. Provider panels