A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?
Turn the child's head to the side and press on the nasal ridge.
Elevate the head of the bed slightly and apply pressure to the forehead.
Sit the child upright and apply pressure to the sides of the nose.
Keep the child flat and apply pressure to the bridge of the nose.
The Correct Answer is C
A. Turning the head to the side is not recommended, as it can cause blood to drain into the throat.
B. Applying pressure to the forehead does not help control nasal bleeding.
C. Sitting upright and applying pressure to the sides of the nose is the correct action to stop the bleeding and prevent blood from going down the throat.
D. Keeping the child flat can increase the risk of blood entering the airway, which can lead to aspiration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Gastritis in the father is unrelated to rheumatic fever, which is linked to streptococcal infections, not gastrointestinal issues.
B. Chickenpox, caused by the varicella-zoster virus, is not related to rheumatic fever.
C. A sibling who had a sore throat 3 weeks ago is significant because rheumatic fever often follows an untreated or inadequately treated streptococcal throat infection. Recognizing a recent history of streptococcal infection is key to understanding the source of the child's rheumatic fever.
D. Fifth disease, caused by parvovirus B19, is also unrelated to rheumatic fever.
Correct Answer is A
Explanation
A. Puberty might be considered delayed if there are no scrotal changes by the age of 11 years, as testicular enlargement is one of the earliest signs of puberty in boys.
B. Growth spurts typically occur early in puberty, not towards the end.
C. Changes in voice occur later in puberty, not at the beginning.
D. Gynecomastia (breast tissue development) commonly occurs during early puberty rather than late puberty and is usually temporary.
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