مريض بعد تثبيت حشوة أنفية خلفية لنزيف أنفي شديد. أي ملاحظة تحتاج تدخلاً عاجلاً؟

A client has a posterior nasal pack for severe epistaxis. Which finding needs urgent action?

1. A feeling of nasal blockage
2. Mild nasal discomfort
3. Dry mouth from mouth breathing
4. Dyspnoea and falling saturation

Answer: D) Dyspnoea and falling saturation. A posterior pack can slip into the throat and obstruct the airway, and can cause hypoxaemia, especially in older adults and those with lung disease. Breathing and saturation are monitored, with scissors at the bedside per policy.