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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Wearing a wide-brimmed hat can help protect a child’s face, neck and ears from the harmful effects of the sun.
Choice A is wrong because while staying under a beach umbrella can provide some protection from the sun, it is not enough on its own.
Choice B is wrong because loose-weave clothing may not provide enough protection from the sun’s rays.
Choice C is wrong because a sunscreen with an SPF of at least 30 is recommended for adequate protection.
Correct Answer is D
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The Centers for Disease Control and Prevention (CDC) recommends that children aged 11-12 years old receive two doses of the HPV vaccine separated by 6-12 months.
Choice A is wrong because Hepatitis A vaccine is typically given to children at age.
Choice B is wrong because Varicella vaccine is typically given to children at ages 12-15 months and 4-6 years.
Choice C is wrong because DTaP vaccine is typically given to children at ages 2, 4, and 6 months, and between ages 15-18 months and 4-6 years.
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