Question

A client was seen in the emergency rom with severe epistaxis. After the physician places a nasal packing, the bleeding is controlled. What should the nurse include as part of the discharge instructions? Select all that apply.

a. call physician if bleeding persists or becomes worse
b. continue taking baby aspirin as ordered
c. do not blow the nose
d. keep nasal packing in place until seen for follow-up appointment
e. swallow any oozing blood to avoid coughing

Answer 1

The nurse should instruct the patient to call the physician if bleeding gets worse, avoid taking blood-thinning medications like baby aspirin unless directed, not blow the nose, keep the nasal packing in place until the follow-up appointment, and spit out any blood that trickles into the throat to prevent stomach irritation.

Step-by-step explanation:

After experiencing severe epistaxis (nosebleed) and having a nasal packing placed, it is essential for the client to follow specific discharge instructions to ensure proper healing. The nurse should advise the patient to do the following:

• Call the physician if bleeding persists or becomes worse after leaving the emergency room.
• Avoid taking blood-thinning medications like baby aspirin unless directed by a healthcare provider, as it can increase the risk of bleeding.
• Do not blow the nose forcefully, as it can dislodge the nasal packing and cause further bleeding.
• Keep the nasal packing in place until the follow-up appointment with the healthcare provider.
• Instead of swallowing blood, which can cause irritation to the stomach and coughing, spit out any blood that trickles down the throat.

These instructions aid in minimizing potential complications and promoting proper healing. It is crucial the patient understands that proper humidification and hydration can help prevent the recurrence of nosebleeds, especially during periods of nasal congestion prompted by cold and dry weather or other conditions such as pregnancy.