A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?
Turn the child's head to the side and press on the nasal ridge.
Elevate the head of the bed slightly and apply pressure to the forehead.
Sit the child upright and apply pressure to the sides of the nose.
Keep the child flat and apply pressure to the bridge of the nose.
The Correct Answer is C
A. Turning the head to the side is not recommended, as it can cause blood to drain into the throat.
B. Applying pressure to the forehead does not help control nasal bleeding.
C. Sitting upright and applying pressure to the sides of the nose is the correct action to stop the bleeding and prevent blood from going down the throat.
D. Keeping the child flat can increase the risk of blood entering the airway, which can lead to aspiration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.6"]
Explanation
To calculate the dosage of digoxin for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 66 pounds, which is approximately 30 kilograms (66 ÷ 2.2). The prescribed dose is 12 micrograms per kilogram per day, which equals 360 micrograms per day (12 mcg × 30 kg). Since the dose is divided every 12 hours, the child should receive 180 micrograms every 12 hours. The digoxin elixir is available at a concentration of 0.05 mg/mL, which is the same as 50 micrograms per milliliter. To find out how many milliliters to administer per dose, divide the dose in micrograms by the concentration: 180 mcg ÷ 50 mcg/mL equals 3.6 mL.
Correct Answer is D
Explanation
A. The conjunctivae can show signs of cyanosis but is not the most reliable indicator of central cyanosis.
B. Ear lobes may show peripheral cyanosis but are not reliable for central cyanosis.
C. The soles of the feet are not typically assessed for cyanosis in this context.
D. The oral mucosa is the most reliable indicator of central cyanosis, as it reflects the oxygenation status of the blood more accurately.
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