Difficulty: Medium
Average Score: 69%
Simulated
A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. Which of the following instructions should the nurse give to the parent?
Correct answer
C
Rationale
The correct answer is C. This instruction is appropriate for managing a nosebleed in a child with von Willebrand disease. Having the child sit with their head tilted forward helps to prevent blood from flowing backward into the throat and potentially causing choking. Applying pressure on the nose for 10 minutes helps to stop the bleeding.
Choice A is incorrect because placing the child in a supine position can lead to blood flowing backward and potentially causing choking. Choice B is incorrect because applying ice can constrict blood vessels, potentially worsening the bleeding in a child with a bleeding disorder. Choice D is incorrect because tilting the head back can also lead to blood flowing backward and potentially causing choking.
Choice A is incorrect because placing the child in a supine position can lead to blood flowing backward and potentially causing choking. Choice B is incorrect because applying ice can constrict blood vessels, potentially worsening the bleeding in a child with a bleeding disorder. Choice D is incorrect because tilting the head back can also lead to blood flowing backward and potentially causing choking.