A 55-year-old man comes to the health nurse at his place of work with epistaxis. He reports he has frequent nosebleeds that he can usually control himself. What would be the most helpful assessment after the nurse has stopped the bleeding?
a. Obtain a blood pressure
b. Record the approximate amount of blood lost
c. Inquire about a headache
d. Record the last episode of epistaxis
ANS: A
Check the blood pressure for hypotension to assess for hypovolemic shock. Adults can lose as much as 1 L of blood in an hour with heavy epistaxis.
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