QUESTION IMAGE
Question
a client arrives in the hospital emergency department with a bloody nose. what is the initial nursing action?
answer options
1 place the client in supine position.
2 apply an ice collar around the clients neck.
3 assist the client to a sitting position with the head tilted forward.
4 instruct the client to swallow the blood until the bleeding can be controlled.
In nursing, for a client with a bloody nose (epistaxis), the initial action is to position the client to prevent aspiration and facilitate drainage. A sitting position with the head tilted forward helps blood drain out instead of down the throat (preventing aspiration), unlike supine (risk of aspiration), ice collar is not initial, and swallowing blood is unsafe. So the correct action is assisting to a sitting position with head tilted forward.
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- Assist the client to a sitting position with the head tilted forward.