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A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.
Which of the following findings should the nurse identify as an indication of hemorrhage?

Blood pressure 95/56 mm Hg.

Heart rate 54/min.

Continuous swallowing.

Flushing of the face.

Answer and Explanation

The Correct Answer is C

Continuous swallowing can be an indication of hemorrhage following a tonsillectomy and adenoidectomy.

This is because the child may be swallowing blood that is coming from the surgical site.

Choice A is wrong because a blood pressure of 95/56 mm Hg is within the normal range for a 5-year-old child.

Choice B is wrong because a heart rate of 54/min is within the normal range for a 5-year-old child.

Choice D is wrong because flushing of the face is not an indication of hemorrhage following a tonsillectomy and adenoidectomy.

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Correct Answer is B

Explanation

Your child should walk the bicycle through intersections.

Walking the bicycle through intersections can help increase the child’s visibility and reduce the risk of accidents.

Choice A is wrong because it’s important for the child to ride as far to the right as possible, not 3 feet from the curb.

Choice C is wrong because the child should always ride with the flow of traffic, not against it.

Choice D is wrong because when seated on the bicycle, the child’s feet should be able to touch the ground.

A. Give the infant fruit juice between feedings. B. Use half-strength formula when feeding the infant. C. Assign consistent nursing staff to care for the infant. D. Keep the infant in a visually stimulating environment.

Correct Answer is C

Explanation

Consistent care from the same nursing staff can help establish a routine and build trust between the infant and caregivers.

Choice A is wrong because giving an infant fruit juice between feedings does not address the underlying causes of failure to thrive.

Choice B is wrong because using half-strength formula when feeding the infant can exacerbate the problem by providing insufficient nutrition.

Choice D is wrong because keeping the infant in a visually stimulating environment does not address the underlying causes of failure to thrive.

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A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?

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A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.
Which of the following findings should the nurse identify as an indication of hemorrhage?