Question

A 43-year old man is experiencing a severe nosebleed. his blood pressure is 190/110 mm Hg and his heart rate is 90 beats/min and bounding. Preffered treatment for this patient includes:

A. having the patient pinch his own nostrils and lie supine
B. placing a rolled 4^2 x 4^2 dressing between his lower lip and gum
C. packing both nostrils with gauze pads until the bleeding stops
D. pinching the patients nostrils and having him lean forward

Answer 1

The preferred treatment for a severe nosebleed in a 43-year old man with high blood pressure and bounding heart rate is to pinch the nostrils and have him lean forward.The correct option is D.

Step-by-step explanation:

The preferred treatment for a 43-year old man experiencing a severe nosebleed, with a blood pressure of 190/110 mm Hg and a heart rate of 90 beats/min and bounding, would be:

D. Pinching the patient's nostrils and having him lean forward.

This treatment method helps to control and stop the nosebleed by applying direct pressure to the bleeding vessels. Pinching the nostrils helps to compress the blood vessels and lean forward position helps prevent blood from flowing down the throat. Lying supine can lead to blood flowing back into the throat, and packing the nostrils with gauze pads is usually not necessary for initial treatment.