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Walden University
NRNP 6568
EPISTAXIS Latest
updated exam with
complete expert
solutions
1. Prior to any type of procedure, you have the mother sign an
informed consent for a procedures. What are the three major
areas you must discuss when doing any type of procedure?
• provide information needed to make an informed decision
• simplify and assist the patient to understand the procedure and
why
• assess the decision to participate in the procedure
2. Nosebleeds can be divided into three groups. What are they?
• spontaneous
• self-limiting
• benign
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3. 90% of nosebleeds fall into which group?
• Anterior epistaxis
4. Name 4 indications for intervention by a provider for a
nosebleed.
• when first-aid measures, such as direct compression for up to 20
minutes, does not respond
• airway is compromised
• significant blood volume depletion
• significant comorbidities (coagulopathy, anticoagulation,
hypertension) or complications of blood loss
5. You place Branch on the exam table at approximately 45
degrees. You drape him appropriately. You have him blow his
nose gently to remove clots. You then inspect the right side to
familiarize yourself with his anatomy. You then inspect the left
side using a nasal speculum. When using the nasal speculum, it is
important to use it VERTICALLY.
6. Why is it important to use the nasal speculum a certain way?
• Inserting the nasal speculum vertically allows visualization to
assess most anterior nose bleeds.
7. You note that the bleeding is coming from an area on the
septum. You know that the next step is to apply a
vasoconstrictive solution to the nose. What are two ways you
can deliver the vasoconstrictive solution?
• cotton pledgets soaked in solution
• intranasal solution spray
8. You note that the area that is the source of the bleeding is about
3 mm in diameter. You make the decision to use a silver nitrate
stick. How long should you apply pressure with the stick?
• Chemical cautery can be attempted with a silver nitrate stick.
According to Kucik & Clenney (2005), the stick is to be applied
directly to the bleeding site for approximately 30 seconds.
According to Abuzeid (2020), place the tip of the
FORMORE EXAMS
EMAIL:
EMAIL:
Walden University
NRNP 6568
EPISTAXIS Latest
updated exam with
complete expert
solutions
1. Prior to any type of procedure, you have the mother sign an
informed consent for a procedures. What are the three major
areas you must discuss when doing any type of procedure?
• provide information needed to make an informed decision
• simplify and assist the patient to understand the procedure and
why
• assess the decision to participate in the procedure
2. Nosebleeds can be divided into three groups. What are they?
• spontaneous
• self-limiting
• benign
FORMORE EXAMS
EMAIL:
, FORMORE EXAMS
EMAIL:
3. 90% of nosebleeds fall into which group?
• Anterior epistaxis
4. Name 4 indications for intervention by a provider for a
nosebleed.
• when first-aid measures, such as direct compression for up to 20
minutes, does not respond
• airway is compromised
• significant blood volume depletion
• significant comorbidities (coagulopathy, anticoagulation,
hypertension) or complications of blood loss
5. You place Branch on the exam table at approximately 45
degrees. You drape him appropriately. You have him blow his
nose gently to remove clots. You then inspect the right side to
familiarize yourself with his anatomy. You then inspect the left
side using a nasal speculum. When using the nasal speculum, it is
important to use it VERTICALLY.
6. Why is it important to use the nasal speculum a certain way?
• Inserting the nasal speculum vertically allows visualization to
assess most anterior nose bleeds.
7. You note that the bleeding is coming from an area on the
septum. You know that the next step is to apply a
vasoconstrictive solution to the nose. What are two ways you
can deliver the vasoconstrictive solution?
• cotton pledgets soaked in solution
• intranasal solution spray
8. You note that the area that is the source of the bleeding is about
3 mm in diameter. You make the decision to use a silver nitrate
stick. How long should you apply pressure with the stick?
• Chemical cautery can be attempted with a silver nitrate stick.
According to Kucik & Clenney (2005), the stick is to be applied
directly to the bleeding site for approximately 30 seconds.
According to Abuzeid (2020), place the tip of the
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