A school child has an epistaxis. The school nurse appropriately intervenes by:

Question

1. Tilting the child's head forward, squeezing the nares below the nasal bone, and apply-ing 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.

Answer 1

1
Rationale:
1. The correct initial treatment for a nosebleed (epistaxis) is to tilt the head forward, squeeze the nares below the nasal bone for 10–15 minutes, and apply ice to the nose or the back of the head.
2. The correct initial treatment for a nosebleed (epistaxis) is to tilt the head forward, squeeze the nares below the nasal bone for 10–15 minutes, and apply ice to the nose or the back of the head. . Tilting the child's head back can 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 (epistaxis) is to tilt the head forward, squeeze the nares below the nasal bone for 10–15 minutes, and apply ice to the nose or the back of the head. Lying the child down without application of pressure to the nares might not stop the bleeding.
4. The correct initial treatment for a nosebleed (epistaxis) is to tilt the head forward, squeeze the nares below the nasal bone for 10–15 minutes, and apply ice to the nose or the back of the head. A cotton ball soaked with Neo-Synephrine would be used only if the bleeding did not stop with pressure and ice.