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Author Question: A provider prescribes Crotalidae Polyvalent Immune Fab (CroFab) for a client who is admitted after ... (Read 33 times)

Collmarie

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on: Jun 25, 2018
A provider prescribes Crotalidae Polyvalent Immune Fab (CroFab) for a client who is admitted after being bitten by a pit viper snake. Which assessment should the nurse complete prior to administering this medication?
 
  a. Assess temperature and for signs of fever.
  b. Check the client's creatinine kinase level.
  c. Ask about allergies to pineapple or papaya. d.
  Inspect the skin for signs of urticaria (hives).

Question 2

After teaching a client how to prevent altitude-related illnesses, a nurse assesses the client's understanding. Which statement indicates the client needs additional teaching?
 
  a. If my climbing partner can't think straight, we should descend to a lower altitude.
  b. I will ask my provider about medications to help prevent acute mountain sickness.
  c. My partner and I will plan to sleep at a higher elevation to acclimate more quickly.
  d. I will drink plenty of fluids to stay hydrated while on the mountain.


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softEldritch

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C
CroFab is an antivenom for pit viper snakebites. Clients should be assessed for hypersensitivity to bromelain (a pineapple derivative), papaya, and sheep protein prior to administration. During and after administration, the nurse should assess for urticaria, fever, and joint pain, which are signs of serum sickness.

Answer to Question 2

ANS: C
Teaching to prevent altitude-related illness should include descending when symptoms start, staying hydrated, and taking acetazolamide (Diamox), which is commonly used to prevent and treat acute mountain sickness. The client should be taught to sleep at a lower elevation.


Collmarie

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Reply #2 on: Jun 25, 2018
Correct answers!


softEldritch

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Reply #3 on: Jun 25, 2018
Great! Please up vote :D


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