A nurse has started a new job as an office nurse in an ENT practice. Which of the following does the nurse orienting the new employee explain to be the most common disorder of the nose?
a. epistaxis c. congestion
b. rhinitis d. sinus infection
A
The most common disorder of the nose is epistaxis, or nose bleed. Epistaxis is hemorrhage of the nares or nostrils and is either unilateral, which is most common, or bilateral. Epistaxis may be primary in nature, stemming from drying of the nasal mucosa, local irritation, or trauma, or may occur secondary to uncontrolled hypertension or coagulopathies (e.g., thrombocytopenia, anticoagulant therapy). The diffuse vascularity and proximity of blood vessels to the surface of the nasal mucosa make the nares a susceptible avenue for hemorrhage. Blood loss can be minimal to severe. With significant blood loss, hypovolemic shock occurs.
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