{"id":141232,"date":"2024-09-20T14:42:53","date_gmt":"2024-09-20T14:42:53","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=141232"},"modified":"2024-09-20T14:42:55","modified_gmt":"2024-09-20T14:42:55","slug":"a-nurse-receives-a-call-from-a-parent-of-a-child-who-has-von-willebrand-disease-and-has-had-a-nosebleed","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/20\/a-nurse-receives-a-call-from-a-parent-of-a-child-who-has-von-willebrand-disease-and-has-had-a-nosebleed\/","title":{"rendered":"A nurse receives a call from a parent of a child who has von Willebrand disease and has had a nosebleed."},"content":{"rendered":"\n

A nurse receives a call from a parent of a child who has von Willebrand disease and has had a nosebleed. Which of the following instructions should the nurse give to the parent?<\/p>\n\n\n\n

A.
“Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.”<\/p>\n\n\n\n

B.
“Apply ice at the base of the nose for 5 min and then check for bleeding.<\/p>\n\n\n\n

C.
“Place your child in a supine position with a pillow under her back.”<\/p>\n\n\n\n

D.
“Place your child in a sitting position with her head tilted back<\/p>\n\n\n\n

The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n

The correct answer is A. “Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.”<\/strong><\/p>\n\n\n\n

Explanation:<\/h3>\n\n\n\n

Von Willebrand disease is a genetic bleeding disorder caused by a deficiency or dysfunction of von Willebrand factor (vWF), a protein that plays a key role in blood clotting. People with this condition tend to bleed more easily, including having frequent nosebleeds, also known as epistaxis. Given this, prompt and appropriate care during a nosebleed is essential to prevent excessive blood loss.<\/p>\n\n\n\n

When a child with von Willebrand disease experiences a nosebleed, it\u2019s crucial to use the right technique to control the bleeding. In this case, the correct instruction to give to the parent is to have the child sit with their head tilted forward while applying pressure to the nose for at least 10 minutes.<\/p>\n\n\n\n

    \n
  • Head Tilted Forward:<\/strong> Tilting the head forward prevents blood from flowing down the throat. If the head is tilted back (as suggested in option D), the child could swallow the blood, leading to nausea, vomiting, or coughing, which can increase bleeding and cause further complications.<\/li>\n\n\n\n
  • Apply Pressure:<\/strong> Continuous pressure on the soft part of the nose helps compress the blood vessels, promoting clot formation and stopping the bleeding. Holding pressure for at least 10 minutes is important to allow the blood clot to stabilize. Interrupting the pressure too soon can disrupt clot formation and prolong the bleeding.<\/li>\n<\/ul>\n\n\n\n

    Options B<\/strong> and C<\/strong> are incorrect because they suggest actions that do not effectively control nosebleeds in children with bleeding disorders. Ice can be used as an adjunctive measure but does not replace applying firm pressure, which is the most effective technique. Lying in a supine position, as suggested in option C, can lead to blood drainage into the throat, which is not advisable.<\/p>\n\n\n\n

    Effective management of nosebleeds in children with von Willebrand disease includes proper positioning and sustained pressure, along with seeking medical advice if the bleeding persists for longer periods or is recurrent.<\/p>\n","protected":false},"excerpt":{"rendered":"

    A nurse receives a call from a parent of a child who has von Willebrand disease and has had a nosebleed. Which of the following instructions should the nurse give to the parent? A.“Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.” B.“Apply ice at the […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-141232","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141232","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=141232"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141232\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=141232"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=141232"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=141232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}