A nurse receives a telephone call from a parent reporting that their school-age child has a nosebleed and that they cannot stop the bleeding. Which of the following instructions should the nurse provide to the parent?

"Place a warm, wet washcloth over your child's forehead and the bridge of their nose."

"Use your thumb and forefinger to apply pressure to the sides of your child's nose."

"Have your child lie down and turn their head to the side for 10 minutes."

“Tell your child to blow their nose gently, and then sit down and tilt their head backward."

Answer and Explanation

The Correct Answer is B

A. "Place a warm, wet washcloth over your child's forehead and the bridge of their nose." Warm compresses may actually dilate blood vessels, which can worsen the bleeding. Cold compresses are preferred to help constrict vessels.
B. "Use your thumb and forefinger to apply pressure to the sides of your child's nose." This is the correct first-aid measure for epistaxis. The parent should pinch the soft part of the nose continuously for 10–15 minutes while the child leans forward.
C. "Have your child lie down and turn their head to the side for 10 minutes." Lying down can increase blood flow to the nose and may cause blood to be swallowed, which can lead to nausea or vomiting.
D. “Tell your child to blow their nose gently, and then sit down and tilt their head backward." Tilting the head back can cause blood to drain into the throat, increasing the risk of aspiration and stomach upset. Leaning forward is the proper position.

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Correct Answer is A

Explanation

A. Arrange for an ethics committee meeting to address the family's concerns. An ethics committee can provide guidance in situations where there is conflict between advance directives and family wishes. This supports ethical decision-making while honoring the client’s autonomy and legal rights.
B. Complete an incident report. An incident report is used for errors or unusual events, not ethical dilemmas or conflicts over advance directives. It is not appropriate in this scenario.
C. Support the family's decision and initiate life-sustaining measures. The nurse is legally and ethically bound to follow the client’s advance directives, not the family’s wishes, especially when the client’s decisions are documented and clear.
D. Encourage the family to contact an attorney. While families have legal rights, referring them directly to an attorney does not address the immediate ethical issue or facilitate collaborative resolution in the care setting.

A. Orange slices B. Boiled eggs C. Mixed nuts D. Cheddar cheese

Correct Answer is A

Explanation

A. Orange slices. Vitamin C-rich foods like oranges enhance the absorption of nonheme iron, which is found in plant-based sources such as legumes, leafy greens, and fortified cereals. This is especially important for vegetarians who rely on nonheme iron sources.
B. Boiled eggs. While eggs contain iron, they also contain phosphoproteins that can actually inhibit iron absorption. They do not enhance the absorption of nonheme iron and are not ideal for this purpose.
C. Mixed nuts. Nuts provide a source of nonheme iron but do not significantly enhance iron absorption. They lack vitamin C, which is essential for improving nonheme iron bioavailability.
D. Cheddar cheese. Dairy products like cheese contain calcium, which can inhibit iron absorption. They are not recommended to enhance iron uptake, particularly when consuming nonheme iron.

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A nurse receives a telephone call from a parent reporting that their school-age child has a nosebleed and that they cannot stop the bleeding. Which of the following instructions should the nurse provide to the parent?

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Naxlex Comprehensive Predictor Exams

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