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    Ati lpn n113 pharmacology proctored exam

    A 55-year-old man presents to the health nurse at his workplace with epistaxis. He reports he has had four nosebleeds today, and he is concerned because he can usually control the bleeding himself. What would be the most helpful assessment after the nurse has stopped the bleeding?

    Explanation & Rationale

    A. Record the amount of blood loss: While important for documentation, patients often cannot accurately estimate blood loss, especially with nasal bleeding. This step is secondary to assessing the client’s current physiological status following multiple episodes. B. Ask about the last episode of bleeding and how long it took to stop: This can provide useful information for identifying patterns, but it does not assess the client’s immediate condition or potential complications like hypovolemia or hypertension. C. Check the client's vital signs: Vital signs offer immediate insight into the client’s circulatory and respiratory status. Multiple episodes of epistaxis in one day could indicate hemodynamic instability or uncontrolled hypertension, making this the priority assessment. D. Inquire if the client had a headache along with the bleeding: A headache could be associated with elevated blood pressure or sinus involvement, but it is not the most urgent concern after repeated nosebleeds. Assessing vital signs takes precedence.

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