A nurse is caring for a child who has a nosebleed. Which of the following actions should the nurse take?

Have the child sit with her head tilted forward and hold pressure on her nose for 10 min.

Place the child in a sitting position and tilt her head back.

Apply ice at the opening of the nares for 5 min and then re-check for bleeding.

Place the child in a supine position with a pillow under her head.

Answer and Explanation

The Correct Answer is A

A. Have the child sit with her head tilted forward and hold pressure on her nose for 10 min. Tilting the head forward helps prevent blood from flowing down the throat and causing nausea or choking. Applying pressure to the nose for 10 minutes helps to stop the bleeding.
B. Place the child in a sitting position and tilt her head back. Tilted head back can cause blood to flow down the throat and potentially cause aspiration or choking. It's not recommended in managing nosebleeds.
C. Apply ice at the opening of the nares for 5 min and then re-check for bleeding. While cold compresses can help constrict blood vessels, direct pressure and maintaining a forward head position are more effective for stopping nosebleeds.
D. Place the child in a supine position with a pillow under her head. Supine position can cause blood to flow down the throat and is not recommended in managing nosebleeds due to the risk of aspiration.

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Correct Answer is D

Explanation

A. Increased appetite: Intussusception typically causes abdominal pain and discomfort, leading to a decreased appetite rather than increased.
B. Jaundice: Jaundice is not a typical manifestation of intussusception.
C. Drooling: Drooling is not associated with intussusception.
D. Mucus in stools: Intussusception can cause mucus and bloody stools due to the irritation and inflammation in the intestine as it telescopes into itself.

A. Regular diet, no added salt B. Low-carbohydrate, low-protein diet C. Low-protein, low-potassium diet D. Low-sodium, fluid-restricted

Correct Answer is D

Explanation

A. Regular diet, no added salt: A regular diet with no added salt does not adequately address the sodium restriction needed to manage edema in acute glomerulonephritis.
B. Low-carbohydrate, low-protein diet: Restricting carbohydrates and proteins is not typically necessary in acute glomerulonephritis unless there are specific complications.
C. Low-protein, low-potassium diet: While protein restriction may be necessary in chronic kidney disease, it is not typically the primary focus in managing acute glomerulonephritis.
D. Low-sodium, fluid-restricted: A low-sodium diet helps to reduce fluid retention and manage edema in acute glomerulonephritis. Fluid restriction may also be necessary to manage fluid balance.

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A nurse is caring for a child who has a nosebleed. Which of the following actions should the nurse take?

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