What action should a nurse take for a client with thrombocytopenia who develops epistaxis?

The appropriate action for a client with thrombocytopenia who develops epistaxis (nosebleed) is to apply lateral pressure to the nose for 10 minutes. This method is effective because applying pressure to the lateral aspect of the nostrils can help compress the blood vessels that are bleeding, allowing for clot formation and eventual cessation of the bleeding.

Thrombocytopenia, which is a condition characterized by low platelet counts, increases the risk of bleeding due to decreased clotting ability. Therefore, it’s crucial to promote effective first aid techniques to control bleeding episodes. Maintaining an upright position and applying sustained pressure can prevent further bleeding and complications.

The other options are not recommended practices for managing a nosebleed in this context. Tilting the head back can lead to blood flowing backward into the throat, which is not safe and may create a risk for choking or aspiration. Icing the nose can reduce swelling, but it may not effectively control the bleeding as direct pressure does. Encouraging a gentle cough is inappropriate since coughing could increase pressure in the blood vessels of the nasal region and possibly exacerbate the bleeding. Thus, applying lateral pressure is the most effective initial intervention.