Author Question: A school child has epistaxis. The school nurse appropriately intervenes by 1. tilting the child's ... (Read 166 times)

jenna1 · **on:** Jun 27, 2018

A school child has epistaxis. The school nurse appropriately intervenes by

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 nopressure or ice or warm pack.
4. immediately packing the nares with acotton ball soaked with NeoSynephrine

Question 2

A child has been diagnosed with group A Beta-Hemolytic Streptococcus (GABHS) infection of the throat. The nurse should teach the parents to

1. complete the entire course ofantibiotics.
2. keep the child NPO (nothing bymouth).
3. continue normal activities.
4. not allow the child to gargle withsaltwater.

mmj22343 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:1
Rationale: The correct initial treatment for a nosebleed is to tilt the head forward, squeeze the nares below the nasal bone for ten to fifteen 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 will not stop with pressure and ice.

Answer to Question 2

Answer:1
Rationale:It is important for parents to complete the entire course of antibiotics for GABHS infections.Nothing-by-mouth,or NPO,status is not recommended because the child needs to stay hydrated. The child should rest,and use of warm saltwater gargles is recommended.