A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage?
Poor fluid intake
Increased pain
Drooling
Frequent swallowing
The Correct Answer is D
A. Poor fluid intake may be a concern postoperatively, but it is not a specific manifestation of hemorrhage.
B. Increased pain is expected after a tonsillectomy, especially in the immediate postoperative period, but it is not a specific sign of hemorrhage.
C. Drooling is not related to haemorrhage post tonsillectomy.
D. This symptom may indicate that the child is swallowing blood that is oozing from the surgical site. It is important for healthcare providers to recognize this sign promptly as post-tonsillectomy hemorrhage can be a serious complication requiring immediate attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A toy hammer and pounding board may not be appropriate in a hospital setting and might not effectively address the child's emotional distress.
B. A stuffed animal can provide comfort and a sense of security for a young child experiencing separation anxiety. It serves as a transitional object, helping the child cope with the absence of the parent.
C. A picture book about hospitals may be informative, but it might not provide the immediate comfort and distraction needed during the tantrum.
D. A set of building blocks may be more suitable for creative play but may not offer the same level of emotional comfort as a stuffed animal in the given situation.
Correct Answer is C
Explanation
A. Applying bilateral wrist restraints is not a standard intervention after cleft palate repair.
Restraints should be used judiciously and with clear indications to prevent injury.
B. The baby can start feeding normal diet after 24hrs
C. Administering opioids for pain is an appropriate action by the nurse. Opioids control pain in the immediate postoperative period are followed by administration of acetaminophen PRN.
D. Offering fluids through a straw is contraindicated after cleft palate repair, as it can disrupt the healing process and increase the risk of complications. Sippy cups or other appropriate utensils should be used.
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