A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
The child's throat pain increases.
The child refuses clear liquids.
The child cries often.
The child swallows frequently.
The Correct Answer is D
Rationale:
A. The child's throat pain is expected post-tonsillectomy and can be managed using analgesics or an ice collar. However, this is not a priority finding compared to frequent swallowing which may indicate bleeding which is a life-threatening complication of tonsillectomy.
B. Refusing clear liquids may indicate discomfort but is not as urgent as a potential increase in throat pain.
C. Crying often may be a response to discomfort but does not necessarily indicate a complication requiring immediate intervention.
D. This assessment finding indicates that the child might have bleeding in the throat, which is a life-threatening complication of tonsillectomy. The nurse should
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Related Questions
Correct Answer is B
Explanation
A. Unopened bottles of formula are not typically sources of healthcare-associated infections.
B. Bedside computer keyboards can harbor pathogens and serve as fomites for transmitting infections.
C. Disposable diapers are not typically sources of healthcare-associated infections if used appropriately.
D. Protective plastic gowns are not typically sources of healthcare-associated infections if used appropriately.
Correct Answer is ["A","C","D","F","G"]
Explanation
A. Cutting and filing the child's fingernails frequently can help prevent scratching and further irritation of the skin.
B. Atopic dermatitis is not contagious, so this statement is incorrect.
C. Applying emollients (moisturizers) to the child's skin after bathing can help hydrate the skin and reduce itching.
D. Using a mild detergent for the child's laundry can help minimize skin irritation.
E. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.
F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.
G. Atopic dermatitis often has periods of exacerbation (flare-ups) followed by periods of improvement.
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