The nurse is talking with the parent of a 5-year-old client...

The nurse is talking with the parent of a 5-year-old client about managing recurrent nosebleeds at home. Which of the following statements would be appropriate for the nurse to make? Select all that apply.

A. Apply direct pressure by pinching your child's nostrils together for 5-15 minutes.
B. Take your child to the emergency department as soon as possible.
C. Tell your child to lie down and turn your child on the left side.
D. Provide reassurance to keep your child calm and quiet.
E. Place a cold cloth over the bridge of your child's nose.

Correct Answer: A,D,E

Rationale: Pressure , reassurance , and cold cloth control bleeding and anxiety. ED visits are unnecessary for recurrent nosebleeds, and lying down risks aspiration.

You may also like to solve these questions

The nurse is preparing to change the wound dressing for a client who is receiving negative pressure wound therapy. Which of the following actions should the nurse take? Select all that apply.

A. Administer pain medication 30 minutes before the procedure
B. Apply skin protectant to intact skin surrounding the wound
C. Cut the foam dressing to the shape and size of the wound
D. Ensure that the prescribed negative-pressure setting is applied
E. Verify that the occlusive film dressing is free of air leaks

Correct Answer: A,B,C,D,E

Rationale: All actions are correct: pain management , skin protection , proper foam sizing , correct pressure , and leak-free dressing ensure effective therapy.

A client with multiple sclerosis is voicing concerns to the nurse about incoordination when walking. Which of the following instructions by the nurse would be most appropriate at this time?

A. Avoid excess stretching of your lower extremities.
B. Build strength by increasing the duration of daily exercise.
C. Let me speak with your health care provider about getting a wheelchair.
D. You should keep your feet apart and use a cane when walking.

Correct Answer: D

Rationale: A wide stance and cane improve balance. Stretching is beneficial, prolonged exercise may worsen fatigue, and a wheelchair is premature.

The nurse is preparing to obtain a urine specimen for urinalysis from an 18-month-old client. Which of the following actions should the nurse take?

A. Perform intermittent straight catheterization to obtain the urine from the client.
B. Apply an adhesive urine collection bag around the client's genital area.
C. Ask the parent to obtain the client's urine using a specimen cup
D. Place a urine dipstick in the client's diaper overnight.

Correct Answer: B

Rationale: An adhesive collection bag is non-invasive and effective for toddlers. Catheterization is invasive, a cup is impractical, and a dipstick is inaccurate.

A client with chronic pancreatitis is receiving Pancreatin. Which of the following observations is most indicative that the drug treatment is having the desired effect?

A. The client's appetite is improved.
B. The client's weight loss is greater than 10 pounds.
C. The client's stools contain less fat and occur with less frequency.
D. The client's tissue bruises less easily.

Correct Answer: C

Rationale: Pancreatin replaces pancreatic enzymes, aiding fat digestion. Reduced fat in stools and less frequent bowel movements indicate effective treatment. Appetite improvement is secondary, weight loss is undesirable, and bruising is unrelated.

The nurse is caring for a client with a seizure disorder. Which of the following seizure precautions should the nurse implement? Select all that apply.

A. Apply pads to the side rails.
B. Remove all linen from the bed.
C. Set up bedside suction equipment
D. Prepare to apply soft limb restraints.
E. Ensure supplemental oxygen is available.

Correct Answer: A,C,E

Rationale: Padded rails prevent injury. Suction clears airways. Oxygen supports breathing. Removing linen is unnecessary, and restraints are a last resort due to injury risk.