A child has epistaxis while at school. Which intervention by the school nurse is appropriate?

Immediately packing the nares with cotton with neo-synephrine

Tilting the child’s head forward, squeezing below the nasal bone, and applying ice to the nose

Tilting the child’s head back, squeezing the bridge of the nose, and applying a warm pack to the nose

Lying the child down and applying a warm pack

Answer and Explanation

The Correct Answer is B

a) Immediately packing the nares with cotton with neo-synephrine: Packing the nose immediately is not usually recommended as a first aid measure and should be done by a healthcare professional.

b) Tilting the child’s head forward, squeezing below the nasal bone, and applying ice to the nose: Correct first aid for epistaxis involves tilting the head forward to prevent swallowing of blood, applying pressure below the nasal bone, and using ice to constrict blood vessels.

c) Tilting the child’s head back, squeezing the bridge of the nose, and applying a warm pack to the nose: Tilting the head back can cause blood to flow down the throat and potentially lead to swallowing or choking on blood.

d) Lying the child down and applying a warm pack: Lying down may increase the risk of swallowing blood and should be avoided during a nosebleed.

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Correct Answer is D

Explanation

a) Measles, mumps, rubella (MMR): Does not directly protect against epiglottitis.

b) Diphtheria, tetanus, pertussis (DTaP): While important for other diseases, does not directly prevent epiglottitis.

c) Hepatitis B: Provides immunity against hepatitis B, not epiglottitis.

d) Hemophilus influenzae type B (Hib): The Hib vaccine specifically targets Haemophilus influenzae type B bacteria, which is the main cause of epiglottitis. Immunization with the Hib vaccine has dramatically reduced the incidence of epiglottitis and other serious infections caused by Hib.

A. Acute diarrhea, dehydration B. Failure to pass meconium, abdominal distension C. Gelatinous stools, pain D. Projectile vomiting, altered electrolytes

Correct Answer is B

Explanation

a) Acute diarrhea, dehydration: Not typically associated with Hirschsprung disease, which involves constipation.

b) Failure to pass meconium, abdominal distension: Characteristic signs of Hirschsprung disease due to the absence of ganglion cells in the distal colon, leading to constipation and distension.

c) Gelatinous stools, pain: Uncommon features of Hirschsprung disease.

d) Projectile vomiting, altered electrolytes: These symptoms are not typically seen in Hirschsprung disease; they might indicate other conditions affecting the gastrointestinal tract.

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A child has epistaxis while at school. Which intervention by the school nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which immunization will the nurse teach to the mothers that can assist in preventing the life-threatening disease epiglottitis?

Correct Answer is D

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Correct Answer is B

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