Question

Which assessment finding puts a client at increased risk for epistaxis?

a) Cocaine use
b) History of nasal surgery
c) Use of a humidifier at night
d) Hypertension

Answer 1

Hypertension is the assessment finding that increases the risk for epistaxis. Cocaine use leads to vasoconstriction and higher blood pressure, elevating this risk. The use of a humidifier can prevent nosebleeds, not increase the risk.

Step-by-step explanation:

The assessment finding that puts a client at increased risk for epistaxis is d) Hypertension. Cocaine use can cause vasoconstriction, which is likely to increase blood pressure, as it narrows the blood vessels making it harder for the heart to pump blood through them.

Increased blood pressure can subsequently increase the risk of nosebleeds. In contrast, the use of a humidifier at night can actually help to prevent nosebleeds by keeping the nasal passages moist, especially when the weather is cold and dry.

Similarly, increased fluid intake is often recommended to counteract congestion for the same reasons. A history of nasal surgery may affect epistaxis risk, but it is not as direct a risk factor as hypertension caused by vasoconstriction from substances like cocaine.