Page 1013 - Saunders Comprehensive Review For NCLEX-RN

1. See Priority Nursing Actions.

Priority Nursing Actions

Nosebleed in a Child
1. Remain calm and keep the child calm and quiet.
2. Have the child sit up and lean forward (not lie down).
3. Apply continuous pressure to the nose with the thumb and
forefinger for at least 10 minutes.
4. Insert cotton or wadded tissue into each nostril, and apply ice or
a cold cloth to the bridge of the nose if bleeding persists.

Reference

Hockenberry. Wilson, Rodgers. 2017;805–806.

2. If bleeding cannot be controlled, packing or
cauterization of the bleeding vessel may be
prescribed.
VI. Allergic Rhinitis
A. Description: a condition in which children are sensitized to
environmental allergens
B. Assessment
1. Itchy and watery eyes, runny nose, itchy throat
2. May be a family history of atopic disease
3. Dark circles under the eyes, cobblestoning of the
conjunctiva, pale nasal mucosa, clear nasal drainage,
nasal polyps, fluid in the middle ear, cobblestoning of
the posterior pharynx, wheezes, rhonchi, eczema,
hives, angioedema
A. Interventions
1. Children with allergic rhinitis should be tested for
environmental allergies, food allergies, atopic
dermatitis, and asthma.
2. Avoidance of triggers; administration of prescribed
antihistamines, nasal corticosteroids, inhalers.

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