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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Collecting all urine may be relevant in certain conditions, such as kidney function monitoring, but it is not specific to Wilms' tumor management.

B. Restrictions on venipuncture or blood pressure in a specific arm are relevant for conditions like lymphedema or post-mastectomy, not Wilms' tumor.

C. Contact precautions are necessary for infectious diseases, not applicable to Wilms' tumor.

D. Wilms' tumor is a renal tumor, and palpating the abdomen could potentially cause the tumor to rupture and spread malignant cells. Therefore, it is critical to avoid any abdominal palpation in these patients.

Correct Answer is ["4"]

Explanation

To calculate the flow rate in gtt/min, the nurse should use the formula: (Volume in mL * Drop factor) / Time in minutes. In this case, the prescribed volume is 150 mL/hr. Since there are 60 minutes in an hour, the time for the infusion is 12 hours * 60 minutes/hour = 720 minutes. The drop factor is 20 gtt/mL. Plugging these values into the formula gives: (150 mL * 20 gtt/mL) / 720 minutes = 3000 gtt / 720 minutes = 4.1666 gtt/min. Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 4 gtt/min.

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A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?

Correct Answer is D

Explanation

Correct Answer is ["4"]

Explanation

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