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 D

Explanation

A. Hypertension is not a common side effect of desmopressin.

B. Hyperkalemia is not typically associated with desmopressin.

C. Hypoglycemia is not a common side effect of desmopressin, as it is not used to manage blood glucose levels.

D. Desmopressin can cause water retention, leading to dilutional hyponatremia, which is a critical side effect to monitor for in clients receiving the medication.

A. Auscultating the rate and characteristics of the child's heart sounds B. Using a pain-rating tool to determine the severity of the joint pain C. Assessing the client's erythematous rash D. Identifying the degree of parental anxiety related to the diagnosis

Correct Answer is A

Explanation

A. Acute rheumatic fever can cause carditis, which may lead to heart murmurs, tachycardia, or heart failure. Assessing heart sounds is a priority to identify potential complications.

B. Joint pain is an important concern in acute rheumatic fever, but the immediate priority is assessing for signs of carditis or heart complications.

C. An erythematous rash is a characteristic of acute rheumatic fever but is less critical to address immediately compared to potential cardiac involvement.

D. Parental anxiety should be addressed, but the priority is assessing the child’s physical condition, particularly the heart.

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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

The nurse is administering desmopressin (DDAVP) to a pediatric client with diabetes insipidus. The nurse should monitor for which of the following potential side effects of this medication?

Correct Answer is D

Explanation

A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?

Correct Answer is A

Explanation

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