The nurse is caring for a patient with thrombocytopenia who has developed epistaxis. In order to stop the bleeding, the patient should:

Sit upright and lean forward.


• To help stop epistaxis (nose bleed), the patient should sit upright while leaning forward slightly. This helps avoid aspiration of blood and increasing pressure in the nose

• Lying down or supine will increase the risk of aspiration

• Bending at the waist increases pressure of the vascular system and will increase bleeding

• Blowing will dislodge the clot and increase bleeding

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