The nurse is caring for a patient who develops epistaxis. Which of the following nursing interventions is advisable?
A)
Have the client tilt his head back and hold pressure to the nose by pinching the nares toward the septum.
B)
Apply heat to the client's nose.
C)
Have the client tilt the head forward and apply pressure by pinching the nares toward the septum.
D)
Have the client lie supine and place ice packs to the forehead.
C
Explanation:
A)
Leaning forward drains blood into the nasopharynx and reduces the chance of swallowing blood. Applying pressure at the nares reduces bleeding. Ice packs to the nose and forehead cause vasoconstriction, helping to reduce bleeding. A sitting, not supine, position decreases blood flow to the head.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
B)
Leaning forward drains blood into the nasopharynx and reduces the chance of swallowing blood. Applying pressure at the nares reduces bleeding. Ice packs to the nose and forehead cause vasoconstriction, helping to reduce bleeding. A sitting, not supine, position decreases blood flow to the head.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
C)
Leaning forward drains blood into the nasopharynx and reduces the chance of swallowing blood. Applying pressure at the nares reduces bleeding. Ice packs to the nose and forehead cause vasoconstriction, helping to reduce bleeding. A sitting, not supine, position decreases blood flow to the head.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
D)
Leaning forward drains blood into the nasopharynx and reduces the chance of swallowing blood. Applying pressure at the nares reduces bleeding. Ice packs to the nose and forehead cause vasoconstriction, helping to reduce bleeding. A sitting, not supine, position decreases blood flow to the head.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
You might also like to view...
The nurse is doing discharge teaching with a patient who has coronary artery disease. The patient asks why he has to take an aspirin every day if he doesn't have any pain. What would be the nurse's best response?
A) "Taking an aspirin every day is an easy way to help restore the normal function of your heart." B) "An aspirin a day can help prevent some of the blockages that can cause chest pain or heart attacks." C) "Taking an aspirin every day is a simple way to make your blood penetrate your heart more freely." D) "An aspirin a day eventually helps your blood carry more oxygen that it would otherwise."
There are four data sets: A: 1, 1, 1, 1, 1, 10, 10, 10, 10 B: 2, 2, 2, 2, 4, 8, 8, 8, 9 C: 3, 4, 4, 5, 5, 5, 6, 6, 7 D: 1, 2, 3, 4, 5, 6, 7, 8, 9 What is the mode of the four individual data sets?
a. 5, 5, 5, 5 b. 1, 4, 5, 5 c. 1, 2, 5, none d. 1
Which of the following is true about "wicked" problems as they relate to decision-making models?
a. They have multiple causes, all of which are understood, and one solution can fix them all. b. They have multiple causes, some of which may not be known, and they are difficult to solve. c. They have multiple causes, all of which are understood, and require multiple solutions. d. They have a single cause, but it is not known, and they are difficult to solve.
Which methods have been identified for preventing antimicrobial resistance? (Select all that apply.)
a. Administering influenza vaccine b. Stopping antibiotic therapy as soon as possible when treating infection c. Treating bacterial colonization in asymptomatic patients d. Using narrow-spectrum antibiotics when possible e. Using national data to determine antimicrobial drug selection