You are caring for a patient with a severe nosebleed. The physician inserts a nasal sponge and tells the patient it may have to remain in place up to 6 days before it is removed. You would know that this patient is at increased risk for what?
A) Viral sinusitis
B) Toxic shock syndrome
C) Pharyngitis
D) Adenoiditis
Ans: B
Feedback: A compressed nasal sponge may be used. Once the sponge becomes saturated with blood or is moistened with a small amount of saline, it will expand and produce tamponade to halt the bleeding. The packing may remain in place for 48 hours or up to 5 or 6 days if necessary to control bleeding. Antibiotics may be prescribed because of the risk of iatrogenic sinusitis and toxic shock syndrome. This makes options A, C, and D incorrect.
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