Which is an appropriate nursing intervention for a child who experiences epistaxis?
1. Laying the child down and applying a warm pack.
2. Tilting the child's head back, squeezing the bridge of the nose, and applying a warm moist pack to the nose.
3. Tilting the child's head forward, squeezing the nares below the nasal bone, and applying ice to the nose.
4. Immediately packing the nares with a cotton ball soaked with phenylephrine (Neo-Synephrine).
3
Explanation:
1. Laying the child down would allow the blood to drain down the throat, which could lead to aspiration. Warmth would promote the bleeding.
2. Tilting the child's head back could cause the blood to trickle down the throat. Warmth can cause an increase in bleeding because of vasodilation.
3. The correct initial treatment for a nosebleed is to tilt the head forward, squeeze the nares below the nasal bone for 10 to 15 minutes, and apply ice to the nose or back of the head.
4. A cotton ball soaked with Neo-Synephrine would only be used if the bleeding did not stop with pressure and ice.
You might also like to view...
Which nursing diagnosis would the nurse select for an older patient with asthma that has a respiratory rate of 28 and audible wheezes on inspiration?
1. Activity Intolerance 2. Altered Tissue Perfusion 3. Ineffective Airway Clearance 4. Ineffective Breathing Pattern with tachypnea and wheezing.
A patient with persistent, frequent asthma exacerbations asks a nurse about a long-acting beta2-agonist medication. What will the nurse tell this patient?
a. LABAs are safer than short-acting beta2 agonists. b. LABAs can be used on an as-needed basis to treat symptoms. c. LABAs reduce the risk of asthma-related deaths. d. LABAs should be combined with an in-haled glucocorticoid.
How we come to know the moral component affecting choices within the complexity of health care that guide day-to-day actions in nursing practice is described as
A. Empirical knowing. B. Personal knowing. C. Ethical knowing. D. Emancipatory knowing.
The nurse knows that which of the following are advantages of spinal block? Note: Credit will be given only if all correct answers and no incorrect answers are selected. Select all that apply
1. Intense blockade of sympathetic fibers 2. Relative ease of administration 3. Maternal compartmentalization of the drug 4. Immediate onset of anesthesia 5. Larger drug volume