The nurse is teaching strategies to prevent insect bites and ...

[nelaaney]

The nurse is teaching strategies to prevent insect bites and stings to the parents of a small child. Which statement made by the parents indicates a need for further teaching?
 
  1. If my child wears bright colors and floral prints when outdoors, she will blend in with the surroundings, and the stinging insects will not sting her.
  2. We should remove any items with standing water from our yard and surrounding area to prevent mosquito reproduction.
  3. My child can use insect repellent containing DEET of 10 or less.
  4. My child should avoid heavy colognes, perfumes, and soaps so that insects are not attracted to them.

Question 2

Nursing care of the child with a snake bite involves assessment of the child for initial and progressive signs of envenomation. Which is the priority nursing action at this time?
 
  1. Measure the circumference of the extremity containing the bite every 20 to 30 minutes.
  2. Assess immunization status.
  3. Assess the need for emergency breathing interventions.
  4. Assess neurovascular status and vital signs.
  5. Assess pain and the child's response to pain medication.

[nothere]

Answer to Question 1

1
Rationale 1: Bright-colored clothing and floral prints attract the insects. White and light-colored clothing should be worn. This statement requires clarification.
Rationale 2: Standing water is a breeding ground for mosquitoes. Rid yards of all bird baths, stagnant pools, and any standing water that mosquitoes could use for breeding. No clarification is needed.
Rationale 3: DEET is an appropriate insect repellent and can be used in children. A concentration of 10 or less is recommended due to neurotoxic effects at greater concentrations. No clarification is needed.
Rationale 4: Heavy colognes, perfumes, soaps, and detergents resemble flowers and plants and will attract the stinging insects. This statement is correct.
Global Rationale:

Answer to Question 2

3
Rationale 1: In order to track progression in swelling and response to treatment, the extremity with the bite is measured every 20 to 30 minutes. However, this does not take priority over airway, breathing, and circulation.
Rationale 2: Immunization status is important information to obtain, but the more immediate need is for airway, breathing, and circulation.
Rationale 3: Emergency intervention for airway, breathing, and circulation take priority and has a high probability of occurrence.
Rationale 4: Vital signs and neurovascular status of the distal extremities should be monitored but do not take priority over airway, breathing, and circulation.
Rationale 5: Pain medication will need to be given and the response to the treatment monitored; however, this should not take priority over airway, breathing, and circulation.
Global Rationale: