The nurse is completing documentation for a client recovering from a nosebleed. What should be included in this documentation? (Select all that apply.)
1. The time it occurred
2. Use of aspirin to treat
3. Preventing future episodes
4. Measures used to control it
5. Teaching to care for it at home
Answer: 1, 3, 4, 5
1. Document the time the nosebleed occurred.
2. Aspirin is an anticoagulant. The client would not be treated with aspirin for a nosebleed.
3. Document teaching provided to prevent future episodes.
4. Document measures required to control bleeding.
5. Document teaching provided regarding home care measures.
You might also like to view...
The nurse is educating the family regarding general needs for adequate nutrition, rest, and physical activity. Which type of care is the nurse providing to this family?
1. Health promotion. 2. Health protections. 3. Injury prevention. 4. Illness prevention.
A 62-year-old patient is seen in the emergency department with an epistaxis. When a patient has an epistaxis, the correct nursing interventions would be
a. place the patient in Fowler's position with the head forward. b. place the patient in low-Fowler's position with the head hyperextended. c. compress the nostrils tightly below the bone and hold for 1 minute. d. place hot compresses over the nose.
Lymphocytes are made up of B cells and T cells. B cells:
a. mature in lymphoid tissue. b. mediate humoral immunity. c. migrate to the thymus gland. d. destroy virus-infected cells.
Which of the following symptoms would be more common in this patient's age group for an acute myocardial infarction?
A 78-year-old retired seamstress comes to the office for a routine check-up. You obtain an ECG (electrocardiogram) because of her history of hypertension. You diagnose a previous myocardial infarction and ask her if she had any symptoms related to this. A) Chest pain B) Syncope C) Pain radiating into the left arm D) Pain radiating into the jaw