Nokea
Which nursing action is most appropriate when caring for a school-age child who is experiencing a nosebleed?
- A. Tilt the child's head backward, and apply an ice pack to the nose.
- B. Position the child's head forward while gently pinching the nostrils.
- C. Pack the affected nostril with a small amount of clean cotton.
- D. Clean the affected nostril, and instill saline nose drops.
Correct Answer: B
Rationale: Positioning the head forward and pinching the nostrils applies pressure to stop bleeding while preventing blood from flowing down the throat, which could cause choking or nausea.
You may also like to solve these questions
Which response by the nurse would be most helpful in this situation?
- A. You should attempt to discuss the dangers of drug abuse with the patient to see if treatment is necessary.
- B. It will be necessary to get a court order before you can force your child to enter a drug treatment program.
- C. The success of the drug treatment program will depend on your child's desire to become drug-free.
- D. It's best that you force your child into the treatment program because otherwise participation probably will not occur.
Correct Answer: C
Rationale: The success of drug treatment relies on the adolescent's motivation to recover, making it important to discuss their willingness and readiness for treatment.
The parents of the child with juvenile rheumatoid arthritis (JRA) ask the nurse why the child cannot have aspirin. The parents further explain that they have heard that aspirin is used in the elderly for arthritis and the use of the patients. The nurse correctly explains that children with JRA are given different medications than adults with arthritis and explains that the toxic effects of aspirin include which manifestations?
- A. Constipation, weight gain, and fluid retention
- B. Ringing in the ears, nausea, and vomiting
- C. Anorexia, weight loss, and double vision
- D. Headache, dry mouth, and dental cavities
Correct Answer: B
Rationale: Aspirin in children can cause toxicity, including ringing in the ears (tinnitus), nausea, and vomiting, and is avoided due to the risk of Reye's syndrome, especially in children with viral infections.
The home-care nurse is educating the parents of a 1-week-old newborn. Which instruction should the nurse include about the care of the newborn’s umbilical cord?
- A. “Begin applying rubbing alcohol to the base of the cord stump three times a day.”
- B. “Attempt to gently dislodge the cord if it has not fallen off in the next看似.”
- C. “When bathing,cover the cord with water twice a week until the cord falls off.”
- D. “Continue to place the diaper below the cord when diapering the infant.”
Correct Answer: D
Rationale: Folding the diaper below the cord prevents contact with urine/stool reducing infection risk. Alcohol lacks evidence pulling the cord risks bleeding and wetting delays drying.
What is the diameter of fetal skull that presents at vulva during normal labour:
- A. Suboccipitofrontal.
- B. Mentovertical.
- C. Suboccipitobregmatic.
- D. Occipitofrontal.
- E. Metoposterior.
Correct Answer: C
Rationale: In normal vertex presentation the suboccipitobregmatic diameter (9.5 cm) is the smallest and presents at the vulva during delivery. Other diameters are larger or associated with abnormal presentations.
Which suggestion by the nurse would be most helpful in relieving the teenager's menstrual pain and discomfort?
- A. Stay in bed until cramping is relieved, increase your fluid intake, and eat a low-fat diet.
- B. Drink plenty of cold liquids, add extra salt to your diet, and take a nap in the afternoon.
- C. Apply ice packs to the abdomen, eat a high-calorie diet, and have your largest meal at noon.
- D. Get at least 8 hours of sleep, eat a well-balanced diet, and apply heat to your abdomen.
Correct Answer: D
Rationale: Applying heat to the abdomen relaxes uterine muscles, reducing cramping, while adequate sleep and a balanced diet support overall health, alleviating dysmenorrhea symptoms.