A client presents with localized redness and swelling from a bee sting and reports intense pain, burning, and itching. What would be the most appropriate nursing action? (Multiple choice question)
Biology · High School · Mon Jan 18 2021
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The most appropriate nursing action in response to a client presenting with localized redness, swelling, intense pain, burning, and itching from a bee sting would be:
a) Apply a tourniquet above the sting site. b) Administer an oral antihistamine. c) Ice the area and elevate the extremity. d) Apply a warm compress to the area.
The correct choice in this scenario is c) Ice the area and elevate the extremity. This response helps with pain relief and reduces swelling by constricting blood vessels and minimizing the spread of the venom. Applying a tourniquet is not appropriate as it may lead to tissue damage by completely cutting off blood flow. Oral antihistamines can help with itching and may be considered, however, the immediate response to address pain and swelling would be icing and elevation. A warm compress may increase circulation to the area, potentially spreading the venom, and therefore is not suggested immediately after a bee sting.
Extra: When dealing with a bee sting, it is important for the student to understand the body’s typical response to an insect sting which often involves a local allergic reaction. The bee's venom can cause inflammation and irritation in the area. First aid steps include:
1. Removing the stinger promptly if it is still in the skin. 2. Cleaning the area with soap and water to prevent infection. 3. Applying a cold pack to reduce swelling and numb the area, thereby providing pain relief. 4. Elevating the affected limb to decrease blood flow to the area, which can help reduce swelling. 5. Monitoring for signs of a severe allergic reaction, such as anaphylaxis, which would need immediate medical attention and potentially an epinephrine injection.
It's also good for students to understand that some people might have a mild allergic reaction while others can have a severe anaphylactic reaction, which is a medical emergency. Familiarity with the use of an epinephrine auto-injector (if prescribed) is crucial for individuals with known severe allergic reactions to bee stings.