Answer to Question 1
ANS: D
Animal bites are reportable injuries. The nurse has an obligation to report the bite as soon as he or she is able, as the animal control authorities may want to interview the child and parents quickly. Antibiotics are not warranted in all dog bites. Discharge teaching should be provided when the family is done in the ED. Offering the child a toy is a nice gesture that could be considered a comfort measure, but does not take priority over a legal requirement.
Answer to Question 2
ANS: A
Insect repellents are harsh chemicals and should be applied to the clothing of children. Spraying the product on the adult's hands and then spreading it on the face and head and exposed skin is an acceptable ways of applying insecticide to a limited amount of skin. The CDC has recently recognized some insecticides that do not contain DEET. Oil of lemon eucalyptus is safe on children over the age of 3. Although insecticides should not stay on for long periods of time, there is no strict 2-hour limit.
Lyme disease and other infections are caused by the bite of a tick.
Child with bacterial meningitis in an opisthotonic position.
An emergency department physician at work
Caregivers’ responses sometimes help a child with strong emotions adapt to the environment.
Child Development, 7th Edition
Emergency Care