A nurse assesses a client recently bitten by a coral snake. Which ...

[burchfield96]

A nurse assesses a client recently bitten by a coral snake. Which assessment should the nurse complete first?
 
  a. Unilateral peripheral swelling
  b. Clotting times
  c. Cardiopulmonary status
  d. Electrocardiogram rhythm

Question 2

A provider prescribes a rewarming bath for a client who presents with partial-thickness frostbite. Which action should the nurse take prior to starting this treatment?
 
  a. Administer intravenous morphine.
  b. Wrap the limb with a compression dressing.
  c. Massage the frostbitten areas.
  d. Assess the limb for compartment syndrome.

[jamesnevil303]

Answer to Question 1

ANS: C
Manifestations of coral snake envenomation are the result of its neurotoxic properties. The physiologic effect is to block neurotransmission, which produces ascending paralysis, reduced perception of pain, and, ultimately, respiratory paralysis. The nurse should monitor for respiratory rate and depth. Severe swelling and clotting problems do not occur with coral snakes but do occur with pit viper snakes. Electrocardiogram rhythm is not affected by neurotoxins.

Answer to Question 2

ANS: A
Rapid rewarming in a water bath is recommended for all instances of partial-thickness and full-thickness frostbite. Clients experience severe pain during the rewarming process and nurses should administer intravenous analgesics.