A school child has epistaxis. The school nurse appropriately intervenes by:
1. Tilting the child's head forward, squeezing the nares below the nasal bone, and applying ice to the nose.
2. Tilting the child's head back, squeezing the bridge of the nose, and applying a warm moist pack to the nose.
3. Lying the child down and applying no pressure or ice or warm pack.
4. Immediately packing the nares with a cotton ball soaked with Neo-Synephrine
1
Rationale:
1. The correct initial treatment for a nosebleed is to tilt the head forward, squeeze the nares below the nasal bone for 10–15 minutes, and apply ice to the nose or back of the head.
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. Lying the child down without application of pressure to the nares might not stop the bleeding.
4. A cotton ball soaked with Neo-Synephrine would only be used if the bleeding did not stop with pressure and ice.
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A nurse can delegate:
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