A parent calls the pediatric clinic to report that her child has a bloody nose. The nurse should give the parent which of the following instructions to stop the bleeding?

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

Apply ice at the base of the nose for 5 min and then check for bleeding.

Place the child in a sitting position with her head tilted back.

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

Answer and Explanation

The Correct Answer is A

A. The child should sit upright with the head tilted forward to prevent blood from flowing down the throat, which could cause choking or aspiration. Applying pressure on the nostrils for 10 minutes is an effective method for stopping most nosebleeds.

B. While ice may help constrict blood vessels, it is not the primary intervention for a nosebleed. Holding pressure is more effective.

C. Tilting the head back can cause blood to flow into the throat and potentially lead to choking or vomiting.

D. Lying the child supine increases the risk of blood flowing into the throat and airway, making it unsafe.

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Correct Answer is C

Explanation

A. Abdominal pain rated 4 is moderate and should be managed but is not as immediately critical as hypotension.

B. A respiratory rate of 20/min is within normal limits for an adolescent and is not a priority finding.

C. Low blood pressure (hypotension) following blunt abdominal trauma is a concern for internal bleeding or hemorrhage. This is the priority finding and requires immediate intervention.

D. A heart rate of 72/min is normal and does not indicate immediate concern.

A. "I am going to listen to your heart." B. "Can you stand very still while I feel how warm you are?" C. "Can I listen to your lungs?" D. "Can I take your blood pressure now?"

Correct Answer is A

Explanation

A. "I am going to listen to your heart" is the most appropriate way to introduce the process of taking vital signs, as it is non-threatening and familiar to the child.

B. "Can you stand still while I feel how warm you are?" may be confusing to a toddler, as they might not understand what "feeling warm" means.

C. "Can I listen to your lungs?" might sound unfamiliar or intimidating to a toddler.

D. "Can I take your blood pressure now?" is a more advanced procedure that may cause anxiety and should be introduced after explaining the other vital signs.

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A parent calls the pediatric clinic to report that her child has a bloody nose. The nurse should give the parent which of the following instructions to stop the bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

Correct Answer is C

Explanation

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?

Correct Answer is A

Explanation

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