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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encouraging deep breathing is important for preventing pulmonary complications but is not the priority in managing a vaso-occlusive crisis.
B. Maintaining hydration through intravenous fluids is the priority as it helps to reduce blood viscosity and prevent further sickling of cells, which is critical in managing a vaso-occlusive crisis.
C. Active range-of-motion exercises are important but are not a priority during an acute vaso-occlusive crisis.
D. A protein-rich diet supports overall health but is not immediately relevant to the acute management of a vaso-occlusive crisis.
Correct Answer is D
Explanation
A. Contact precautions are used for infections that spread through direct or indirect contact with contaminated surfaces or items, which is not the case for measles.
B. Droplet precautions are used for infections spread through large respiratory droplets, such as influenza, but measles requires different precautions.
C. Protective environment precautions are used for immunocompromised patients to prevent infections but are not specific to measles.
D. Measles is spread through airborne droplets, so airborne precautions are required to prevent the spread of the virus through the air.
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