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) Poker chip tool: Typically used for older children who can understand and articulate pain levels.
b) Faces pain rating scale: Also used for older children who can express themselves using facial expressions.
c) FLACC pain scale: Designed for non-verbal or pre-verbal children, assessing facial expressions, leg movement, activity, cry, and consolability.
d) Duchar scale: There isn't a widely recognized pain assessment tool known as the "Duchar scale" in pediatric pain management
Correct Answer is ["A","B","D"]
Explanation
a) nephritis: Common in lupus, involving inflammation of the kidneys.
b) butterfly rash: Characteristic rash across the cheeks and bridge of the nose, commonly seen in lupus.
c) hepatomegaly: While possible in certain conditions, it's not typically a primary manifestation of lupus.
d) arthritis: Joint inflammation and pain are common in lupus.
e) osteochondritis: While musculoskeletal symptoms can occur in lupus, osteochondritis is not a common manifestation.
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