A nurse is caring for a child post-operative tonsillectomy, what is the nursing priority when providing post-operative care?

Administer codeine postoperatively for pain management.

Offer the child a straw to drink fluids more easily.

Encourage the child to blow their nose gently to clear any mucus or secretions.

Monitor for evidence of bleeding, such as frequent swallowing or bright red emesis.

Answer and Explanation

The Correct Answer is D

A.   Although pain management is an important aspect of post-operative care, opioid use such as codeine is generally avoided in children due to the risk of respiratory depression and other side effects. Non- opioid pain relievers are preferred for post-tonsillectomy care.
B.   While it is important for the child to stay hydrated after a tonsillectomy, using a straw can increase the risk of trauma to the surgical site, leading to bleeding. The nurse should encourage sipping liquids carefully without using a straw.
C.   Blowing the nose after a tonsillectomy can cause pressure that may disrupt the healing tissue, increasing the risk of bleeding. This action should be avoided in the post-operative period.
D.   Bleeding is a significant concern after a tonsillectomy, especially in the first 24 hours. Frequent swallowing may indicate that the child is swallowing blood, and bright red emesis (vomiting) may also signal active bleeding. Monitoring for signs of bleeding is the nursing priority, as it can be life- threatening if not addressed promptly.

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Correct Answer is C

Explanation

A. Thickening the formula with cereal is generally not recommended for infants with a cleft lip and palate as it can cause additional feeding difficulties.
B. Positioning the infant laying back can increase the risk of aspiration and is not recommended. An upright position helps reduce the risk of aspiration.
C. Positioning the infant upright during feedings helps reduce the risk of aspiration and facilitates better feeding for infants with cleft lip and palate.
D. A nasogastric tube may be needed if the infant is unable to feed orally due to the severity of the cleft, but this is not a routine part of feeding education.

A. Encouraging the infant to engage in vigorous physical activity B. Administering antibiotics to treat the viral infection C. Isolating the infant to prevent the spread of infection to other infants D. Administering bronchodilators to improve respiratory function E. Providing frequent small, age-appropriate feedings to prevent dehydration F. Administering oxygen to maintain adequate oxygen saturation levels

Correct Answer is ["C","D","E","F"]

Explanation

A. Encouraging vigorous physical activity is not appropriate for an infant with RSV, as it can worsen respiratory distress.
B. Antibiotics are not effective against RSV because it is a viral infection. Antibiotics should only be used for secondary bacterial infections.
C. Isolation is crucial to prevent the spread of RSV to other infants, especially in healthcare settings.
D. Bronchodilators may be used to help open the airways and ease breathing in some cases of RSV.
E. Small, frequent feedings are important to prevent dehydration, as infants with RSV may struggle with feeding due to difficulty breathing.
F. Oxygen therapy is often required to maintain adequate oxygen levels in infants with RSV, particularly if they are experiencing respiratory distress.

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A nurse is caring for a child post-operative tonsillectomy, what is the nursing priority when providing post-operative care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education about feedings to the parents of a newborn with a cleft lip and palate. The education includes the use of a specialized bottle/nurser, offering frequent short feedings, and burping more frequently. What other education should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for an infant with respiratory syncytial virus (RSV). Which of the following are appropriate nursing interventions when prioritizing care for an infant with RSV? (Select All that Apply.)

Correct Answer is ["C","D","E","F"]

Explanation

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