Pediatric ATI Practice Exam

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What is the most appropriate action for a nurse caring for a child experiencing epistaxis?

  1. Apply a warm cloth to the forehead

  2. Apply a cold cloth to the bridge of the nose

  3. Encourage the child to lean back

  4. Use a nasal spray to constrict blood vessels

The correct answer is: Apply a cold cloth to the bridge of the nose

Applying a cold cloth to the bridge of the nose is an appropriate action for a nurse caring for a child experiencing epistaxis, which is the medical term for a nosebleed. The application of a cold cloth can help to constrict the blood vessels in the nasal passages, potentially reducing blood flow and helping to stop the bleeding more quickly. In addition, cold compresses may provide comfort and help alleviate any swelling or discomfort associated with the bleeding. This method is often recommended because it addresses the underlying issue of increased blood flow to the area, which is contributing to the nosebleed. Leaning back, which is suggested in one of the other options, is not advisable as it can lead to swallowing blood, which may cause gastrointestinal discomfort or complications. Using a nasal spray to constrict blood vessels typically requires medical oversight and isn't an immediate self-care measure one would typically use in this situation. Lastly, placing a warm cloth on the forehead can be soothing but does not address the immediate need to stop the bleeding.

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