Question 1

The stinger of a wasp is evident in the left thigh of a female who states that she is allergic to bees and has a Epi-pen for such occasions. She states that the sting occurred 2 hours ago and she just now noticed that the stinger remains in place. She did not take her epinephrine and appears asymptomatic for an allergic reaction. At this time, you would:

Accepted Answer

The stinger should be removed as soon as possible to prevent further venom release. Applying a warm pack can help with pain and swelling, but it is not the priority in this situation. Administering epinephrine is not necessary at this time, as the patient is asymptomatic and has not had a severe allergic reaction. Attempting identification of the wasp may be helpful for future reference, but it is not necessary for immediate treatment.

Question 2

A 23-year-old female has been stung in the right arm by unidentified marine life. Her arm and hand are swollen and red. The primary assessment is unremarkable and she is complaining of pain to the site of injury. You would:

Accepted Answer

Swelling can worsen, and removing rings can prevent them from becoming constrictive and causing further injury or circulation issues.

Question 3

Medical direction has asked you to remove a tick from behind the left ear of a 5-year-old girl. You would:

Accepted Answer

The correct method to remove a tick is to use fine-tipped tweezers to grasp the tick as close to the skin's surface as possible and pull upward with steady, even pressure. This minimizes the chances of tearing the tick and leaving mouth parts embedded in the skin, which could lead to infection. Twisting or jerking the tick can cause parts of the tick to break off and remain in the skin. Using a credit card or refusing to remove the tick are not appropriate responses.

Question 4

A patient has been bitten by a nonpoisonous grass snake. Your care would include:

Accepted Answer

Cleaning and dressing the wound is the appropriate care for a nonpoisonous snake bite. The wound should be cleaned thoroughly and covered with a sterile dressing to prevent infection. Administering epinephrine or applying a constricting band is not necessary for a nonpoisonous snake bite. Emergency transport to the hospital may be necessary if the wound becomes infected or if the patient has an allergic reaction.

Question 5

A 43-year-old male has removed a tick from his arm, prior to your arrival. He is refusing any and all care at this time. What statement would be most appropriate?

Accepted Answer

Choice D is the most appropriate statement as it is true that tick bites can result in bacterial infections, such as Lyme disease, and can be serious if left untreated. The other statements are either false or over-generalizations.

Quiz 24: Environmental Emergencies

A 23-year-old female has been stung in the right arm by unidentified marine life. Her arm and hand are swollen and red. The primary assessment is unremarkable and she is complaining of pain to the site of injury. You would:

Medical direction has asked you to remove a tick from behind the left ear of a 5-year-old girl. You would:

A patient has been bitten by a nonpoisonous grass snake. Your care would include:

A 43-year-old male has removed a tick from his arm, prior to your arrival. He is refusing any and all care at this time. What statement would be most appropriate?