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 D

No explanation

A. Use firmness and direct the client to sit for awhile. B. Suggest to the client that he take a walk. C. Move the client to a quiet place on the unit. D. Encourage the client to use the punching bag

Correct Answer is C

Explanation

Delusions and loss of control can be distressing for the client and potentially disruptive to the unit environment. Moving the client to a quiet place helps create a calm and less stimulating environment, which can help reduce agitation and promote a sense of safety and security.

Using firmness and directing the client to sit for a while may escalate the situation and increase the client's distress. It is important to approach the client with empathy and provide a supportive environment rather than exerting control through firmness.

Suggesting the client take a walk or encouraging the client to use a punching bag may not be appropriate if the client is already displaying signs of agitation and losing control. These interventions may not address the underlying causes of the delusions and could potentially worsen the situation.

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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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