A nurse is caring for a child with recurrent tonsillitis who has been referred for a tonsillectomy.
The nurse understands that this surgical intervention is considered for which of the following reasons?
The child has had at least one episode of tonsillitis.
The child's tonsillitis does not respond to antibiotic therapy.
The child has mild throat discomfort.
The parents are anxious about their child's condition.
The Correct Answer is B
Choice A rationale:
Having at least one episode of tonsillitis might not be a sufficient indication for a tonsillectomy.
Tonsillectomy is typically considered for recurrent tonsillitis, not just a single episode.
Choice B rationale:
Tonsillectomy is considered when the child's tonsillitis does not respond to antibiotic therapy and becomes recurrent.
Recurrent tonsillitis can significantly impact a child's quality of life and may necessitate surgical intervention to prevent frequent infections and complications.
Choice C rationale:
Mild throat discomfort alone is not a strong indication for tonsillectomy.
Tonsillectomy is usually reserved for cases of recurrent tonsillitis that do not respond to conservative treatments.
Choice D rationale:
The parents' anxiety about their child's condition is not a direct indication for tonsillectomy.
The decision for surgery should be based on the child's medical condition and the medical necessity of the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The client's symptoms, including sore throat, difficulty swallowing, fever, red and swollen tonsils with white patches, enlarged lymph nodes, bad breath, headache, and abdominal pain, indicate possible tonsillitis, which is often caused by a bacterial infection.
Rest and increased fluid intake are essential components of the care plan for tonsillitis.
Adequate rest helps the body fight the infection, and increased fluid intake helps prevent dehydration, especially if swallowing is painful.
This choice demonstrates the client's understanding of self-care measures to promote recovery.
Choice B rationale:
Continuing to smoke can worsen the irritation of the throat and prolong the healing process.
Smoking irritates the mucous membranes, making it difficult for the throat to heal.
It can also exacerbate the symptoms and delay recovery.
Choice C rationale:
Tonsillitis caused by bacteria often requires antibiotics to clear the infection completely.
Taking antibiotics only when in pain might lead to incomplete eradication of the bacteria, resulting in a recurrence of the infection or complications.
It is essential to take the full course of antibiotics as prescribed by the healthcare provider.
Choice D rationale:
Going to work when experiencing symptoms of tonsillitis not only jeopardizes the client's health but also puts coworkers at risk of contracting the infection.
Resting at home and avoiding contact with others can prevent the spread of the illness.
Correct Answer is ["A","D"]
Explanation
Choice A rationale:
The child has been having difficulty swallowing.
Difficulty swallowing is a common symptom of tonsillitis.
Inflamed tonsils can make swallowing painful and difficult.
Choice B rationale:
The child has been experiencing ear pain.
While ear pain can be associated with throat infections, it is not a direct symptom of tonsillitis.
Choice C rationale:
The child has a rash on their arms and legs.
A rash is not a typical symptom of tonsillitis.
It could indicate other conditions such as an allergic reaction or viral illness.
Choice D rationale:
The child’s tonsils appear red and swollen.
Red and swollen tonsils are characteristic signs of tonsillitis.
Inflammation of the tonsils is a key indicator of the condition.
Choice E rationale:
The child has been experiencing frequent nosebleeds.
Nosebleeds are not typically associated with tonsillitis.
They could be due to other factors such as dry air or nasal irritation.
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