A client with thrombocytopenia, secondary to leukemia, develops epistaxis. The nurse should instruct the client to:
a) sit upright, leaning slightly forward.
b) blow his nose and then put lateral pressure on his nose.
c) lie supine with his neck extended.
d) hold his nose while bending forward at the waist.
Answer: a) sit upright, leaning slightly forward.
Explanation:
Sitting upright and leaning slightly forward avoids increasing vascular pressure in the nose and helps the client avoid aspirating blood. Lying supine won't prevent aspiration of the blood. Nose blowing can dislodge any clotting that has occurred. Bending at the waist increases vascular pressure in the nose and promotes bleeding rather than halting it. pg.555
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