The nurse is caring for a patient who develops epistaxis. Which nursing intervention is advisable?
1. Have the client lie supine and place ice packs to his forehead.
2. Have the client tilt his head forward and apply pressure by pinching the nares toward the septum.
3. Apply heat to the client's nose.
4. Have the client tilt his head back and hold pressure to his nose by pinching the nares toward the septum.
Answer: 2
1. A sitting, not supine, position decreases blood flow to the head.
2. Leaning forward drains blood into the nasopharynx and reduces the chance of swallowing blood. Applying pressure at the nares reduces bleeding.
3. Ice packs to the nose and forehead cause vasoconstriction, helping to reduce bleeding. 4. Leaning forward drains blood into the nasopharynx and reduces the chance of swallowing blood.
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