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 C
Explanation
A. Lack of eye contact can indicate a developmental concern, but it is not specific to hearing impairment.
B. Lack of gesturing by 15 months could be concerning, but it is more related to social development than to hearing.
C. By 7 months, infants should begin babbling. The absence of babbling at this age is a red flag for potential hearing issues.
D. The absence of the Moro reflex is expected after the first few months of life, so it is not a sign of hearing impairment.
Correct Answer is B
Explanation
A. A weight of 14.5 kg (32 lb) is normal for a 3-year-old.
B. A respiratory rate of 45 breaths per minute is elevated for a 3-year-old, whose normal range is 20-30 breaths per minute.
C. A blood pressure of 90/50 mm Hg is normal for a toddler.
D. A heart rate of 110/min is within the expected range for a 3-year-old.
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