A child has epistaxis while at school. The school nurse appropriately intervenes by: 1. Lying the ...

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Rationale 1: Lying the child down would allow the blood to drain down the throat, which could lead to aspiration. Warmth would promote the bleeding.
Rationale 2: Tilting the child's head back could cause the blood to trickle down the throat. Warmth can cause an increase in bleeding because of vasodilation.
Rationale 3: The correct initial treatment for a nosebleed is to tilt the head forward, squeeze the nares below the nasal bone for 10-15 minutes, and apply ice to the nose or back of the head.
Rationale 4: A cotton ball soaked with Neo-Synephrine would only be used if the bleeding did not stop with pressure and ice.
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