A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?
"We will sit the child upright and forward and apply pressure to the sides of the nose."
"We should turn the child's head to the side and press on the nasal ridge."
"We should put the child in bed, elevate the head slightly and press on the forehead,"
"We should have the child lie flat and apply pressure to the cheeks."
The Correct Answer is A
A. Sitting the child upright and forward while applying pressure to the sides of the nose is the correct approach to managing a nosebleed. This position prevents blood from flowing down the throat and helps stop the bleeding by applying direct pressure.
B. Turning the child's head to the side and pressing on the nasal ridge is incorrect because it does not effectively control the bleeding and may cause blood to flow into the throat.
C. Lying the child in bed and pressing on the forehead is not effective in controlling a nosebleed.
D. Lying flat and applying pressure to the cheeks does not address the source of the bleeding and may worsen the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The Doll's eye reflex is expected to be negative in older infants. It is present in newborns but should be absent by 2 months of age.
B. The Crawl reflex, which involves the infant moving forward when placed on their stomach, should disappear by 6-8 months. A negative reflex at 9 months is expected.
C. The Babinski reflex, where the toes fan out when the sole of the foot is stroked, is normal in infants up to 12-18 months.
D. The Moro reflex, or startle reflex, should disappear by 4-6 months of age. A positive Moro reflex at 9 months indicates a delay in neurological development and requires further evaluation.
Correct Answer is B
Explanation
A. Isosorbide dinitrate is a nitrate that helps to dilate blood vessels and reduce the workload on the heart. It is generally safe for clients with asthma.
B. Carvedilol is a beta-blocker used to manage heart failure, but it can also cause bronchoconstriction, which is dangerous for clients with asthma. Beta-blockers can exacerbate asthma symptoms, so clarification is needed before administration.
C. Fluticasone is a corticosteroid commonly used to manage asthma and other respiratory conditions; it is not contraindicated for this client.
D. Captopril is an ACE inhibitor used to treat heart failure and does not pose a risk for clients with asthma.
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