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.

Answer and Explanation

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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Correct Answer is A

Explanation

Shaking the inhaler for 3 to 5 seconds ensures that the medication is properly mixed and will be delivered effectively during inhalation.

B. The correct waiting time between inhalations is usually 1 minute, not 2 minutes, to allow for optimal bronchodilation.

C. Pressing down twice on the MDI canister is incorrect. The client should press down once and inhale the medication deeply.

D. Rinsing the mouth after using the MDI is recommended to prevent oral thrush, but using water, not mouthwash, is generally advised to avoid potential irritation.

A. Remind parents that the child should avoid immunizations to prevent the introduction of bacteria into the body. B. Suggest the child participate in sports activities without restriction. C. Treat upper respiratory infections with over-the-counter medication. D. Ensure a consistent and daily intake of adequate fluids to prevent dehydration.

Correct Answer is D

Explanation

A. Children with sickle cell anemia should receive all recommended immunizations to protect against infections, which can trigger a sickle cell crisis.

B. Participating in sports should be done with caution, and activities that lead to dehydration or overexertion should be avoided.

C. Over-the-counter medications should be used cautiously and under the guidance of a healthcare provider, as some medications may not be suitable for children with sickle cell anemia.

D. Ensuring adequate hydration is crucial for preventing sickle cell crises. Dehydration can increase blood viscosity, leading to sickling of the red blood cells and subsequent pain and complications.

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A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

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The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching?

Correct Answer is D

Explanation

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