Charlene with emergent concern

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In mid-afternoon, one of the chaperones contacts Charlene with an emergent concern. Several students in his group have been stung by bees that were in a ground nest under a decaying log that was moved by the students. Two students had 4-5 stings each, while the others only had 1 sting each. There are no known allergies to bee stings among this group.

1. As the school nurse, how does Charlene initially instruct the chaperone? What nursing actions will Charlene take for first aid? What are the steps Charlene should take for further observation of these students? What actions should be taken for the students who sustained multiple stings? Include any delegation activities.

2. One of the students in this chaperone group has autism and is very stressed by the bees, even though she was not stung. She is wailing loudly and walking quickly in circles; initial attempts to calm her have not been effective. What kind of information in this student's IEP and IHP could help direct Charlene's response? What actions will Charlene take to help this student? Who can help Charlene address the needs of this student?

3. About 30 minutes after the bee stings, one of the students who was stung on the arm is noted to have significant swelling and erythema of his right forearm. This student is observed to be itching and rubbing his arm. He is not experiencing any difficulty breathing. What actions will Charlene take to help this student.

Reference no: EM133845255

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