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 A
Explanation
A. Agitation can be a sign of hypoxemia, as the body responds to low oxygen levels with restlessness and anxiety.
B. Nausea is less directly related to hypoxemia and more often associated with other conditions.
C. Hypotension is not a typical primary manifestation of hypoxemia; it is more associated with severe or advanced stages of illness.
D. Dysphagia (difficulty swallowing) is not a common symptom of hypoxemia during an asthma attack.
Correct Answer is C
Explanation
A. Reading a story is beneficial but does not directly support the toddler's developmental task of autonomy and initiative.
B. Feeding the toddler is a basic need but does not support the development of independence.
C. Allowing the toddler to pull a talking-duck toy supports their developmental task of autonomy and initiative by promoting physical activity and exploration.
D. Watching a puppet show is a passive activity and does not foster the active exploration needed for this developmental stage.
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