A school child has epistaxis. The school nurse appropriately intervenes by
1. tilting the child's head forward,squeezing the nares below the nasal bone,and applying ice to the nose.
2. tilting the child's head back,squeezing the bridge of the nose, and applying a warm moist pack to the nose.
3. lying the child down and applying nopressure or ice or warm pack.
4. immediately packing the nares with acotton ball soaked with NeoSynephrine
Answer:1
Rationale: The correct initial treatment for a nosebleed is to tilt the head forward, squeeze the nares below the nasal bone for ten to fifteen minutes and apply ice to the nose or back of the head. Tilting the child's head back may cause the blood to trickle down the throat. Warmth can cause an increase in bleeding because of vasodilation.Lying the child down without application of pressure to the nares may not stop the bleeding. A cotton ball soaked with Neo-Synephrine would only be used if the bleeding will not stop with pressure and ice.
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