A nurse assesses a client who has developed epistaxis. Which conditions in the client's history should the nurse identify as potential contributors to this problem? (Select all that apply.)
a. Diabetes mellitus
b. Hypertension
c. Leukemia
d. Cocaine use
e. Migraine
f.
Elevated platelets
ANS: B, C, D
Frequent causes of nosebleeds include trauma, hypertension, leukemia and other blood dyscrasias, inflammation, tumor, dry air, blowing or picking the nose, cocaine use, and intranasal procedures. Diabetes, migraines, and elevated platelets and cholesterol levels do not cause epistaxis.
You might also like to view...
Due to budget cuts, a community has reduced its garbage pickup frequency from twice a week to once a week. Because of this the population health nurse should be concerned about the potential increase in:
1. Making the area look unsightly. 2. Animal pests that could spread disease. 3. The amount of trash generated per household. 4. Spreading weeds from uncollected grass clippings.
Which nursing action is essential to reduce the patient's risk of developing a postsurgical infection at the site of a permanent colostomy?
1. Change the dressing as ordered by the surgeon. 2. Administer intravenous antibiotics as prescribed. 3. Assesse the patient's understanding of the importance of infection control measures. 4. Instruct the patient in the proper technique for handling hygiene of the colostomy site.
What is a clinical finding that warrants further intervention for the child with acute poststreptococcal glomerulonephritis?
a. Weight loss to within 1 pound of the preill-ness weight b. Urine output of 1 milliliter per kilogram per hour c. A normal blood pressure d. Inspiratory crackles
A 19-year-old is brought to the emergency department (ED) with multiple lacerations and tissue avulsion of the left hand. When asked about tetanus immunization, the patient denies having any previous vaccinations. The nurse will anticipate giving
a. tetanus immunoglobulin (TIG) only. b. TIG and tetanus-diphtheria toxoid (Td). c. tetanus-diphtheria toxoid and pertussis vaccine (Tdap) only. d. TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap).