A nurse is caring for a child in the post-anesthesia care unit (PACU)
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"D"}
The nurse should first: Notify the surgeon due to the child's: Throat clearing
Rationale for correct answer:
Frequent swallowing and throat clearing after tonsillectomy are early signs of bleeding, a serious postoperative complication. This requires immediate attention.
Rationale for incorrect answers:
Provide a diversional activity: Not priority in this urgent context.
Administer PRN pain medication: Important, but not first given the concern for bleeding.
Offer the child a popsicle: Contraindicated if bleeding is suspected.
Provide discharge education: Not appropriate until the child is stable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sleep patterns:
While improved sleep is beneficial, it is not the primary marker for improvement in ADHD treatment.
B. Food intake:
Methylphenidate can reduce appetite, so although improved food intake is good, it is not the primary indicator of therapeutic response for ADHD.
C. Parental report of behavior improvements:
While valuable, parental reports can be subjective. Objective evidence like teacher reports of academic improvement are more reliable.
D. Teacher report of academic improvement:
Improvement in academic performance reflects better attention, impulse control, and focus, indicating effective management of ADHD symptoms.
Correct Answer is B
Explanation
A. Decreased calories:
Calorie needs may vary, but withholding calories can lead to hypoglycemia.
B. Increased fluids
Illness increases the risk for dehydration and hyperglycemia. Increased fluid intake helps prevent dehydration and aids in clearing ketones.
C. Blood glucose monitoring every 8 hrs.:
Blood glucose should be checked more frequently—every 3 to 4 hours—not every 8 hours.
D. Urine testing for leukocytes:
Urine ketone testing (not leukocytes) is needed during illness in diabetics.
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