EENT and Sleep Disorders Q 50 - Gyan Darpan : Learning Portal
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Tuesday 22 March 2022

EENT and Sleep Disorders Q 50

For a client diagnosed with epistaxis, which intervention would be included in the care plan?
     A. Performing several abdominal thrust (Heimlich) maneuvers.
     B. Compressing the nares to the septum for 5 to 10 minutes.
     C. Applying an ice collar to the neck area.
     D. Encouraging warm saline throat gargles.

Correct Answer: B. Compressing the nares to the septum for 5 to 10 minutes.

When a client experiences epistaxis, the nurse should compress the soft outer portion of the nares against the septum for approximately 5 to 10 minutes. the client should sit upright, breathe through the mouth, and refrain from talking. Treatment for anterior bleeding can be started with direct pressure for at least 10 minutes. Have the patient apply constant direct pressure by pinching the nose over the cartilaginous tip (instead of over the bony areas) for a few minutes to try to control the bleed. If that is ineffective, vasoconstrictors such as oxymetazoline or thrombogenic foams or gels can be employed.

Option A: Performing abdominal thrusts is appropriate for the client with a foreign-body aspiration. The treatment for an adult with complete FBAO is similar to that of a child where a bystander performs the Heimlich maneuver until expelling the foreign body or CPR if the patient loses consciousness.
Option C: Applying an ice collar to the neck is commonly done for a client after a tonsillectomy. Bleeding is one of the most common and feared complications following tonsillectomy with or without adenoidectomy. A study from 2009 to 2013 involving over one hundred thousand children showed that 2.8% of children had unplanned revisits for bleeding following tonsillectomy, 1.6% percent of patients came through the emergency department, and 0.8% required a procedure.
Option D: Warm saline throat gargles are appropriate for the client with pharyngitis. All patients with pharyngitis should be educated on the importance of handwashing, rest, and hydration. Antibiotics are typically overused in the treatment of acute pharyngitis. As most cases are due to a viral etiology, antibiotics will not alter the patient’s course.

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