A nurse receives a telephone call from a parent reporting that their school-age child has a nosebleed and that they cannot stop the bleeding. Which of the following instructions should the nurse provide to the parent?
Explanation & Rationale
A. “Place a warm, wet washcloth over your child’s forehead and the bridge of their nose.": Warm compresses can dilate blood vessels and potentially worsen the bleeding. A cold compress or direct pressure is more appropriate for stopping a nosebleed. B. “Tell your child to blow their nose gently and then sit down and tilt their head backward.": Blowing the nose can dislodge clots and increase bleeding, and tilting the head backward risks aspiration of blood. The head should be tilted slightly forward. C. “Use your thumb and forefinger to apply pressure to the sides of your child's nose.": Applying continuous pressure to the soft part of the nose for about 10 minutes helps compress blood vessels and promotes clot formation, which is the correct first-aid response for a nosebleed. D. "Have your child lie down and turn their head to the side for 10 minutes.": Lying down can increase blood flow to the head and promote continued bleeding. Additionally, turning the head to the side risks aspiration of blood into the airway.