How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy.
Which of the following actions should the nurse plan to take to prevent aspiration?

A.

Suction the nasopharynx as needed.

B.

Withhold fluids until the client demonstrates a gag reflex.

C.

Perform chest physiotherapy.

D.

Place a bedside humidifier at the head of the client's bed.

Answer and Explanation

The Correct Answer is B

A.    Suctioning the nasopharynx as needed can help maintain airway patency but does not directly prevent aspiration during the recovery period.


B.    Withholding fluids until the client demonstrates a gag reflex is a standard precaution to prevent aspiration, particularly in the immediate postoperative period.


C.    Chest physiotherapy is not specifically indicated for preventing aspiration in the post- tonsillectomy period.
 
D.    Placing a bedside humidifier at the head of the client's bed is not a specific intervention for preventing aspiration after tonsillectomy. Monitoring the client's ability to swallow and the return of the gag reflex is more relevant.
 


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is B

Explanation

A. Giving a toddler adult vitamins may lead to excessive intake of certain nutrients and is not recommended without consulting a healthcare provider.


B. Quality of food is crucial for toddlers, as they have small stomachs. Providing nutrient-dense foods ensures that they receive essential vitamins and minerals.


C. The average daily caloric intake for a toddler is considerably less than 3,000 calories. This statement reflects a misunderstanding of a toddler's nutritional needs.

D. Toddlers typically have unpredictable appetites. While they may go through phases of increased appetite, it is not a consistent expectation. The emphasis should be on providing a balanced and nutritious diet.

Correct Answer is C

Explanation

A. This response may come across as confrontational and may not address the parent's concerns effectively.


B. Dismissing the parent's worry may not be helpful in addressing their concerns and emotions.


C. Hospitalization can be a stressful experience for children, and regression in toileting skills is a common response. Providing reassurance that this is expected can help alleviate the parent's
embarrassment and anxiety.


D. Expressing understanding and empathy is good, but it does not provide information about the expected regression in toileting skills during hospitalization.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register