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Which one of the following nursing measures would be most appropriate in the care of the patient who has acute epistaxis?
Question

Which one of the following nursing measures would be most appropriate in the care of the patient who has acute epistaxis?

A.

Tilt the patient’s head back

B.

Place the patient’s head between his legs

C.

Pinch the nose and have the patient lean forward

D.

Place warm compresses on the patient’s nasal bridge

Correct option is C

In acute epistaxis (nosebleed), the patient should be instructed to lean forward and pinch the soft part of the nose. This position prevents blood from flowing down the throat, which could cause aspiration or nausea. Explanation of each option: • (a) Tilt the patient’s head back – This is incorrect. Tilting back may cause the blood to be swallowed or aspirated into the airway, which is unsafe. • (b) Place the patient’s head between his legs – This can increase intracranial pressure and doesn’t control bleeding. It’s also not effective in epistaxis management. • (c) Pinch the nose and have the patient lean forward – Correct. Leaning forward and applying direct pressure for 5–10 minutes is the standard initial treatment for anterior nosebleeds. • (d) Place warm compresses on the patient’s nasal bridge – Warmth may increase blood flow. Cold compresses or ice are better to cause vasoconstriction and reduce bleeding.

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