Which action would the nurse take first when a patient develops epistaxis (nose bleed)?

Instill a vasoconstrictor medication into the affected nare.

Pack the affected nare tightly with an epistaxis balloon.

Obtain silver nitrate that may be needed for cauterization.

Apply squeezing pressure to the nostrils for 10 minutes.

Answer and Explanation

The Correct Answer is D

Choice A reason: Vasoconstrictors like oxymetazoline shrink vessels, aiding epistaxis control. It’s a secondary step requiring preparation, not first, as direct pressure is faster, non-invasive, and effective for initial hemostasis in most anterior bleeds.

Choice B reason: Packing with a balloon stops severe bleeding but is invasive and later in management. Pressure is the first, simpler action; packing escalates care unnecessarily before basic measures are tried in acute epistaxis.

Choice C reason: Silver nitrate cauterizes vessels, useful for persistent bleeding. It’s not first, requiring setup and assessment after pressure fails, as most epistaxis resolves with compression, making this a subsequent intervention.

Choice D reason: Squeezing nostrils compresses Kiesselbach’s plexus, stopping most anterior nosebleeds within 10 minutes. It’s the immediate, evidence-based first action, non-invasive, and effective, prioritizing rapid control before escalating to other methods.

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Correct Answer is C

Explanation

Choice A reason: A cardiac diet (low sodium, low fat) supports blood pressure control long-term by reducing vascular strain. However, it’s less immediate than addressing adherence, as dietary change alone won’t correct current medication misuse driving the elevation.

Choice B reason: Cardiac assessment identifies complications like hypertrophy, useful for monitoring. It’s reactive, not proactive, and doesn’t address the root issue of inconsistent adherence, which directly impacts blood pressure control and outcomes now.

Choice C reason: Medication education tackles adherence, the primary cause of uncontrolled hypertension here. Teaching proper use ensures therapeutic levels, reducing pressure via vasodilation or fluid control, directly improving outcomes with evidence-based efficacy.

A. Determine Trigger B. Health Promotion C. Stress Management D. Keep a Journal E. Start a running program

Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: Identifying triggers (e.g., allergens, exercise) prevents asthma exacerbations by avoiding bronchoconstriction causes. It empowers Sara to control exposure, a cornerstone of asthma education supported by evidence for long-term management success.

Choice B reason: Health promotion, like vaccinations and smoking cessation, reduces asthma triggers and infections. It strengthens overall respiratory health, a key teaching point to minimize exacerbations and improve Sara’s quality of life.

Choice C reason: Stress management reduces anxiety, a known asthma trigger via hyperventilation or vagal response. Techniques like deep breathing help Sara maintain control, making it a vital component of comprehensive asthma education.

Choice D reason: Keeping a journal tracks symptoms, triggers, and medication use, aiding asthma control. It provides data for healthcare adjustments, empowering Sara with self-monitoring, a proven strategy in personalized asthma management plans.

Choice E reason: Starting a running program risks exacerbating asthma via exercise-induced bronchospasm, especially without control. It’s not suitable teaching; gradual activity with medical clearance is safer, not an initial recommendation.

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Which action would the nurse take first when a patient develops epistaxis (nose bleed)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Complete the following sentence: Given the patient’s elevated blood pressure and inconsistent medication adherence, the nurse should prioritize (intervention) to help improve blood pressure control and patient outcome

Correct Answer is C

Explanation

Which of the following items should the nurse include in teaching Sara about asthma? (Select all that apply)

Correct Answer is ["A","B","C","D"]

Explanation

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