The school nurse is called to the soccer field because a child has a nose bleed (epistaxis). In which position should the nurse place the child?

Side-lying with the head slightly elevated.

Standing with the head leaning backward.

Sitting up and leaning forward.

Supine with the legs raised.

Answer and Explanation

The Correct Answer is C

A)   Incorrect- This position is not ideal for managing a nosebleed because it does not promote drainage and may lead to blood flowing down the throat.
B)   Incorrect- Leaning the head backward can cause blood to flow down the throat and may lead to choking or aspiration.
C)   Correct- Placing the child in a sitting position and leaning forward helps prevent blood from flowing down the back of the throat, which can lead to choking or aspiration. Leaning forward allows the blood to drain out through the nostrils.
D)   Incorrect- Placing the child in a supine position with raised legs is not recommended for managing a nosebleed, as it may lead to blood flowing down the throat.

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Correct Answer is B

Explanation

The client's labs indicate that she has a positive result for group B Streptococcus (GBS) and hepatitis surface antigen, and she is also identified as rubella non-immune.

Ampicillin is the recommended antibiotic for intrapartum prophylaxis against GBS infection to reduce the risk of transmission to the newborn. Administering ampicillin intravenously would help protect the newborn from potential GBS-related complications. Transfusion of packed red blood cells is not indicated based on the hemoglobin and hematocrit values provided. The client's hemoglobin and hematocrit levels, although lower than the reference range, are not critically low and do not necessarily require a blood transfusion.

Injecting hepatitis B immune globulin is not the appropriate intervention in this case. The client is positive for hepatitis surface antigen, indicating active infection, and requires appropriate medical management, which may include antiviral treatment.

Administering the measles, mumps, rubella vaccine is contraindicated during pregnancy. Vaccination for rubella is typically recommended prior to conception or postpartum to prevent congenital rubella syndrome.

A. Potential changes in employee benefits. B. Changes in job descriptions. C. New management's expectations. D. Employees' job security.

Correct Answer is D

No explanation

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The school nurse is called to the soccer field because a child has a nose bleed (epistaxis). In which position should the nurse place the child?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse-manager is involved in agency restructuring. During this re-engineering process, it is most important for the nurse to address which employee concern?

Correct Answer is D

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