A client comes into the emergency department with epistaxis. What intervention should you perform when caring for a client with epistaxis?
A) Apply a moustache dressing.
B) Provide a nasal splint.
C) Apply direct continuous pressure.
D) Place the client in a semi-Fowler's position.
C
Feedback:
The severity and location of bleeding determine the treatment of a client with epistaxis. To manage this condition, the nurse should apply direct continuous pressure to the nares for 5 to 10 minutes with the client's head tilted slightly forward. Application of a moustache dressing or a drip pad to absorb drainage, application of a nasal splint, and placement of the client in a semi-Fowler's position are interventions related to the management of a client with a nasal obstruction.
You might also like to view...
A nurse receives report on patients in the pediatric intensive care unit who are at risk for hypoperfusion. Which child should the nurse see first?
A. Hypotensive B. Oliguric C. Tachycardic D. Weak pedal pulses
An older male adult who has tinnitus complains to the nurse that it is very annoying. Which should the nurse implement to alleviate the stress he is experiencing from tinnitus?
a. Irrigate bilateral Eustachian tubes. b. Assess for modifiable risk factors. c. Propose a hearing aid and a masker. d. Use white noise to override tinnitus.
A patient on a medical unit has a history of hostile and menacing behavior toward staff and sometimes even strikes them. Which plan would be best for forestalling such incidents?
a. Give the patient lorazepam (Ativan) every 4 hours to reduce anxiety. b. Explain that the response to any violence will be to use restraints. c. Arrange for security personnel to stand by during all nursing care. d. Point out the problem and help the patient identify things that are causing frustration.
A patient is admitted with chest pain of approximately 2 hours in duration. The CK level was 8 U/L. Which of the following should be done to adequately assess this patient?
1. rerun the CK level in 48 hours 2. draw blood for a CK-MB in 72 hours 3. rerun the CK level in 28 hours 4. draw blood for a cTnT or cTnI level