A nurse is caring for a child who has nosebleed. Which of the following actions should the nurse take?
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.
Have the child sit with her head tilted forward and hold pressure on her nose for 10 min.
Place the child in a supine position with a pillow under her head.
The Correct Answer is C
A. Place the child in a sitting position and tilt her head back: Tilting the head back risks blood aspiration or swallowing, which can cause nausea or vomiting.
B. Apply ice at the opening of the nares for 5 minutes and then re-check for bleeding: Ice may help, but direct pressure is the first-line intervention.
C. Have the child sit with her head tilted forward and hold pressure on her nose for 10 min: This is the appropriate action to stop bleeding and prevent blood from entering the airway or stomach.
D. Place the child in a supine position with a pillow under her head: This position is unsafe as it can lead to blood pooling in the back of the throat.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Measles: Typically presents with Koplik spots, a maculopapular rash, and fever, not a strawberry tongue or non-blistering rash.
B. Cardiomyopathy: Refers to a disease of the heart muscle; it does not cause a strawberry tongue or rash.
C. Tetralogy of Fallot: A congenital heart defect that presents with cyanosis and heart-related symptoms, not a strawberry tongue or rash.
D. Kawasaki Disease: Characterized by a strawberry tongue, fever, rash, conjunctivitis, and irritability, especially during the acute phase.
Correct Answer is C
Explanation
A. Ice Hockey: Cold temperatures and physical exertion can trigger a sickle cell crisis by causing vasoconstriction and hypoxia.
B. Tackle American Football: High-impact, strenuous activities increase oxygen demand, putting the child at risk for a crisis.
C. Art Club: A non-strenuous activity that avoids physical strain, dehydration, or extreme temperatures, making it safe for children with sickle cell anemia.
D. Basketball: While it’s not as physically demanding as some sports, it still involves moderate to intense exertion, which could precipitate a crisis.
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