Author Question: A school-age child has epistaxis. Which intervention by the school nurse is the most appropriate? ... (Read 91 times)

formula1 · **on:** Jun 28, 2018

A school-age child has epistaxis. Which intervention by the school nurse is the most appropriate?

1. Tilting the child's head forward, squeezing the nares below the nasal bone, and applying ice to the nose
2. Tilting the child's head back, squeezing the bridge of the nose, and applying a warm, moist pack to the nose
3. Lying the child down and applying no pressure, ice, or warm pack
4. Immediately packing the nares with a cotton ball soaked with Neo-Synephrine

Question 2

Which action by the nurse can assist a child who has a mild hearing loss and reads lips to adapt to hospitalization?

1. Speaking directly to the parents for communication
2. Speaking in a loud voice while facing the child
3. Using a picture board as the main means of communication
4. Touching the child lightly before speaking

wilsonbho · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale: The correct initial treatment for a nosebleed is to tilt the head forward, squeeze the nares below the nasal bone for 10 to 15 minutes, and apply ice to the nose or back of the head. Tilting the child's head back may cause the blood to trickle down the throat. Warmth can cause an increase in bleeding because of vasodilation. Lying the child down without application of pressure to the nares may not stop the bleeding. A cotton ball soaked with Neo-Synephrine would only be used if the bleeding does not stop with pressure and ice.

Answer to Question 2

Correct Answer: 4
Rationale: The nurse can facilitate hospital adaptation of a child who has a hearing loss and can lip-read by obtaining the child's visual attention by lightly touching the child before communicating. Speaking to the parents only does not help the child with the hospitalization. Speaking in a loud voice may not promote hearing in the child, and a picture board, while useful, should not be the primary means of communication for a child who reads lips.