A parent calls the pediatric clinic to report that her child has a bloody nose. The nurse should give the parent which of the following instructions to stop the bleeding?
Have the child sit with her head tilted forward and hold pressure on her nose for 10 min.
Apply ice at the base of the nose for 5 min and then check for bleeding.
Place the child in a sitting position with her head tilted back.
Place the child in a supine position with a pillow under her back.
The Correct Answer is A
A. The child should sit upright with the head tilted forward to prevent blood from flowing down the throat, which could cause choking or aspiration. Applying pressure on the nostrils for 10 minutes is an effective method for stopping most nosebleeds.
B. While ice may help constrict blood vessels, it is not the primary intervention for a nosebleed. Holding pressure is more effective.
C. Tilting the head back can cause blood to flow into the throat and potentially lead to choking or vomiting.
D. Lying the child supine increases the risk of blood flowing into the throat and airway, making it unsafe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Rheumatic fever can develop after a group A streptococcal throat infection (strep throat), typically 2 to 4 weeks after exposure. The sibling with a recent sore throat is likely the source of the infection.
B. Fifth disease is caused by parvovirus B19 and is not linked to the development of rheumatic fever.
C. Gastritis is unrelated to rheumatic fever, which stems from a streptococcal throat infection.
D. Chickenpox is caused by varicella zoster virus and does not lead to rheumatic fever.
Correct Answer is C
Explanation
A. Placing the infant supine in the crib is not a recommended position for administering oral medication as it may cause choking or aspiration.
B. Mixing medication with formula is not recommended, as it may alter the effectiveness of the medication or lead to incomplete dosing.
C. Positioning the syringe to the side of the infant's tongue is the best method to prevent choking and allow the infant to swallow the medication effectively.
D. A medicine cup is not appropriate for measuring medication for an infant due to the small volume and potential for spillage.
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