The emergency department (ED) nurse cares for a child with epistaxis.
Place the following actions in the order in which they need to be performed, starting from first to last.
The emergency department (ED) nurse cares for a child with epistaxis.
Place the following actions in the order in which they need to be performed, starting from first to last.
Incorrect
Apply continuous pressure to the tip of the nose with thumb and forefinger for at least 10 minutes.
Apply ice or a cold cloth to the bridge of the nose if the bleeding persists.
Provide the child with a drink to wash away the taste of blood.
Have the child sit up with the neck forward or erect.
Evaluate the bleeding to determine the effectiveness of the interventions.
Correct Answer is:
Have the child sit up with the neck forward or erect.
Apply continuous pressure to the tip of the nose with thumb and forefinger for at least 10 minutes.
Apply ice or a cold cloth to the bridge of the nose if the bleeding persists.
Provide the child with a drink to wash away the taste of blood.
Evaluate the bleeding to determine the effectiveness of the interventions.
Statistics
Difficulty level - Hard
33%of peers got it right
Time taken - 8 s
Subject/Lesson
Subject
Child Health
Lesson
Hematological/Oncological
Client Need
Test Plan
Physiological Adaptation
Related Topic
Alterations in Body Systems
Item Type
Item Type
Application
Explanation
Correct sequence:
- The nurse should reposition the child by sitting up the child with the neck forward or erect (not lying down). This is done first to reduce the client's risk for aspiration.
- The nurse should then instruct the client to apply continuous pressure to the tip of the nose with thumb and forefinger for at least 10 minutes. This is done to help promote hemostasis.
- If the bleeding persists, the nurse should then apply ice or a cold cloth to the bridge of the nose. The action of the cold will promote vasoconstriction, thereby minimizing bleeding.
- Once the nurse has employed two interventions to stop the bleeding, the nurse should offer the client a drink to wash away the taste of blood. This is done before reassessing if the interventions have been effective because the taste of blood is unpleasant to the client.
- After implementing interventions and providing the client with sips of water, the nurse should carefully evaluate if the client's nose is still bleeding.
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Additional Info
✓ Epistaxis is bleeding of the nose
✓ Epistaxis can be anterior, which is caused by arterial bleeding from the vessels near the nasal septum
✓ Posterior bleeding is more concerning because of the risk of aspiration because posterior bleeding may involve more prominent blood vessels
✓ Repositioning the client upright and having the client tilt their head forward prevents blood from pooling in the posterior pharynx, thereby avoiding nausea and airway obstruction
Last Updated - 20 Nov 2025
