A nurse is caring for a child who has a nosebleed. Which of the following actions should the nurse take?

Have the child sit with her head tilted forward and hold pressure on her nose for 10 min.

Place the child in a sitting position and tilt her head back.

Apply ice at the opening of the nares for 5 min and then re-check for bleeding.

Place the child in a supine position with a pillow under her head.

Answer and Explanation

The Correct Answer is A

A. Have the child sit with her head tilted forward and hold pressure on her nose for 10 min. Tilting the head forward helps prevent blood from flowing down the throat and causing nausea or choking. Applying pressure to the nose for 10 minutes helps to stop the bleeding.
B. Place the child in a sitting position and tilt her head back. Tilted head back can cause blood to flow down the throat and potentially cause aspiration or choking. It's not recommended in managing nosebleeds.
C. Apply ice at the opening of the nares for 5 min and then re-check for bleeding. While cold compresses can help constrict blood vessels, direct pressure and maintaining a forward head position are more effective for stopping nosebleeds.
D. Place the child in a supine position with a pillow under her head. Supine position can cause blood to flow down the throat and is not recommended in managing nosebleeds due to the risk of aspiration.

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Correct Answer is ["3.1"]

Explanation

First, convert the child's weight from pounds to kilograms:

22lb÷2.2=10kg

Calculate the dose:

10kg×10mg/kg=100mg

Next, calculate how many mL of acetaminophen liquid (160 mg/5 mL) is needed for 100 mg:

100mg÷160mg/5ml= 100 ×5/160= 3.125ml

Rounded to the nearest tenth, administer 3.1 mL (since the medication is typically measured in tenths).

A. A barium enema B. IV fluids until the spasms subside C. Immediate surgery D. Gastric lavage

Correct Answer is A

Explanation

A. A barium enema: A barium enema is both diagnostic and therapeutic for intussusception in many cases. It helps to diagnose the condition by visualizing the telescoped intestine and can also often reduce the intussusception by hydrostatic pressure.
B. IV fluids until the spasms subside: IV fluids are important for managing dehydration and maintaining hydration but do not directly treat intussusception.
C. Immediate surgery: Surgery may be necessary if non-operative reduction methods fail or if there are complications like bowel necrosis or perforation. However, it is not the first-line treatment choice.
D. Gastric lavage: Gastric lavage (stomach pumping) is not indicated for the treatment of intussusception.

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A nurse is caring for a child who has a nosebleed. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["3.1"]

Explanation

What is the treatment of choice for a child with intussusception?

Correct Answer is A

Explanation

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