A nurse cares for a client who has packing inserted for posterior nasal bleeding. Which action should the nurse take first?
a. Assess the client's pain level.
b. Keep the client's head elevated.
c. Teach the client about the causes of nasal bleeding.
d. Make sure the string is taped to the client's cheek.
ANS: D
The string should be attached to the client's cheek to hold the packing in place. The nurse needs to make sure that this does not move because it can occlude the client's airway. The other options are good interventions, but ensuring that the airway is patent is the priority objective.
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