A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?
Cranberry juice
Crushed ice
Vanilla milkshake
Orange juice
The Correct Answer is B
A. Cranberry juice
Explanation: Acidic and citrus juices, including cranberry and orange juice, should be avoided in the immediate postoperative period as they can be irritating to the surgical site and may increase the risk of bleeding.
B. Crushed ice
Explanation:
After a tonsillectomy, it's important to provide cold and clear fluids to soothe the throat and prevent bleeding. Crushed ice is a suitable option as it helps keep the throat cool and provides hydration without irritating the surgical site. Cold liquids can help minimize swelling and provide comfort.
C. Vanilla milkshake
Explanation: While milkshakes may be appealing, dairy products can coat the throat and may not be recommended immediately after surgery. Additionally, it's crucial to avoid using straws, as sucking can increase the risk of bleeding.
D. Orange juice
Explanation: As mentioned earlier, citrus juices like orange juice can be irritating to the surgical site and are not recommended in the early postoperative period after a tonsillectomy. It's essential to choose clear and non-acidic fluids to support healing and prevent complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "All recently used clothing, bedding, and towels must be washed in hot water."
Incorrect: While washing recently used clothing, bedding, and towels in hot water can help in controlling lice, this statement alone doesn't ensure complete eradication of lice or nits.
B. "My child must be free from nits before returning to school."
Correct Answer: This statement shows an understanding that children should be free from nits (lice eggs) before returning to school. Many schools have "no-nit" policies, requiring that children be free from both live lice and nits before re-entry.
C. "Toys that can't be dry cleaned or washed must be thrown out."
Incorrect: It's not necessary to throw out toys that cannot be cleaned. Lice cannot survive off the scalp for more than a day or two. Items that cannot be washed can be sealed in a plastic bag for two weeks to ensure any potential lice or nits die off.
D. "We will treat all the family members to be on the safe side."
Incorrect: Treating all family members is a common but not strictly necessary practice unless others show symptoms or evidence of head lice. It's recommended to focus treatment on those with live lice or nits.
Correct Answer is ["90"]
Explanation
The nurse should withhold the dose if the infant's apical heart rate is less than 90 beats per minute.
Digoxin is a medication that can slow the heart rate. If an infant's heart rate is already too slow, administering digoxin can increase the risk of bradycardia, a serious heart rhythm disturbance.
It's important to monitor the apical heart rate for a full minute before administering digoxin to an infant and to withhold the dose if the heart rate is below the specified threshold.
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