A nurse is caring for a child in the postoperative period following a tonsillectomy. Which of the following actions should the nurse take?
Position the child supine.
Administer analgesics on a schedule.
Encourage the child to blow their nose gently.
Offer orange juice.
The Correct Answer is B
Choice A reason: Positioning a child supine after a tonsillectomy is not recommended due to the risk of respiratory complications. Elevating the head of the bed is preferred to prevent aspiration and facilitate breathing.
Choice B reason: Administering analgesics on a schedule is crucial for effective pain management. It helps maintain consistent pain relief, which is important for encouraging fluid intake and preventing dehydration.
Choice C reason: Encouraging a child to blow their nose gently after a tonsillectomy is not advised because it can increase the risk of bleeding. Instead, gentle mouth breathing and avoiding nose blowing are recommended.
Choice D reason: Offering orange juice after a tonsillectomy is not ideal as acidic beverages can irritate the throat. It's better to provide non-acidic fluids like water or apple juice to keep the child hydrated.
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Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason: It is important to empty the bladder completely to prevent urine from remaining in the bladder, which can promote bacterial growth. However, this choice is not specific to teaching and is a general practice for anyone.
Choice B reason: Wearing cotton underpants is recommended because cotton is breathable and reduces moisture buildup, which can create an environment conducive to bacterial growth. The normal range for breathability in fabrics is not quantifiable but is a qualitative characteristic.
Choice C reason: Wiping from front to back helps prevent the spread of bacteria from the anal area to the urethra, which can reduce the risk of UTI. This is a key teaching point for preventing UTI recurrence.
Choice D reason: Bubble baths can irritate the urethral opening and are associated with an increased risk of UTIs, especially in children. Avoiding them is a preventive measure that should be included in the teaching.
Choice E reason: Watching for manifestations of infection, such as fever, pain, or changes in urine, is crucial for early detection and treatment of UTIs. Parents should be taught to monitor these signs closely.
Correct Answer is D
Explanation
Choice A reason: Hyperventilation can be a sign of oxygen toxicity as the body attempts to balance oxygen and carbon dioxide levels.
Choice B reason: Increased blood pressure is not typically a direct sign of oxygen toxicity; it may be related to other underlying conditions.
Choice C reason: Decreased PaCO2 can be a result of hyperventilation, which is a compensatory mechanism in response to oxygen toxicity.
Choice D reason: Unconsciousness can be a severe sign of oxygen toxicity, indicating a high level of oxygen in the blood affecting brain function.
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