A child has epistaxis while at school. Which intervention by the school nurse is appropriate?
Immediately packing the nares with cotton with neo-synephrine
Tilting the child’s head forward, squeezing below the nasal bone, and applying ice to the nose
Tilting the child’s head back, squeezing the bridge of the nose, and applying a warm pack to the nose
Lying the child down and applying a warm pack
The Correct Answer is B
a) Immediately packing the nares with cotton with neo-synephrine: Packing the nose immediately is not usually recommended as a first aid measure and should be done by a healthcare professional.
b) Tilting the child’s head forward, squeezing below the nasal bone, and applying ice to the nose: Correct first aid for epistaxis involves tilting the head forward to prevent swallowing of blood, applying pressure below the nasal bone, and using ice to constrict blood vessels.
c) Tilting the child’s head back, squeezing the bridge of the nose, and applying a warm pack to the nose: Tilting the head back can cause blood to flow down the throat and potentially lead to swallowing or choking on blood.
d) Lying the child down and applying a warm pack: Lying down may increase the risk of swallowing blood and should be avoided during a nosebleed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) IgM: Typically does not cross the placenta in significant amounts.
b) IgA: Does not pass through the placenta.
c) IgG: Crosses the placenta, providing passive immunity to the fetus.
d) IgE: Does not significantly cross the placenta barrier.
Correct Answer is ["A","B","C","E"]
Explanation
a) High fever: Commonly associated with upper urinary tract infections such as pyelonephritis.
b) Nausea and vomiting: These symptoms often accompany pyelonephritis due to the systemic inflammatory response.
c) Abdominal pain: It's a common symptom of pyelonephritis due to the kidney involvement.
d) Abdominal distension: This symptom is less typically associated with pyelonephritis.
e) Costovertebral angle tenderness: Often present in pyelonephritis due to kidney inflammation.
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