A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake.
Which of the following dietary choices should the nurse offer the child?
Lime-flavored ice pop.
Sugar-free cherry gelatin.
Vanilla ice cream.
Chocolate milk.
The Correct Answer is A
The correct answer is Choice A.
Choice A rationale: Lime-flavored ice pops are cold and soothing, which helps reduce throat pain and swelling post-tonsillectomy. They also provide hydration and are less likely to irritate the surgical site compared to dairy products.
Choice B rationale: Sugar-free cherry gelatin, while hydrating and easy to swallow, may not be recommended immediately post-tonsillectomy. The red dye can be confused with blood if the child vomits, making it harder to assess post-surgical complications.
Choice C rationale: Vanilla ice cream contains dairy, which can increase mucus production and cause throat irritation, potentially making it uncomfortable for a child post-tonsillectomy. It's better to avoid dairy products initially to prevent such issues.
Choice D rationale: Chocolate milk, like vanilla ice cream, contains dairy that can increase mucus production. Additionally, the chocolate can be irritating to a healing throat. Cold, clear, non-dairy fluids are preferable initially post-tonsillectomy for comfort and safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D: 5 mL.
Choice A: 8 mL This choice suggests administering 8 mL of amoxicillin per dose. However, based on the child’s weight (10 kg) and the prescribed dosage (80 mg/kg/day divided into two doses), the correct calculation leads to a dosage of 5 mL per dose. Therefore, 8 mL would be more than the recommended dosage.
Choice B: 80 mL Administering 80 mL of amoxicillin per dose would be significantly more than the recommended dosage. This could potentially lead to an overdose, which could cause harmful side effects.
Choice C: 10 mL While 10 mL is close to the correct dosage, it is still double the recommended amount. Administering too much amoxicillin could potentially lead to an overdose and cause harmful side effects.
Choice D:
Step 1: Calculate the total amount of amoxicillin needed per day.
The total amount of amoxicillin needed per day is calculated by multiplying the weight of the child by the dosage per kg. So, 80 mg/kg/day × 10 kg = 800 mg/day.
Step 2: Divide the total amount of amoxicillin needed per day by the number of doses per day.
The total amount of amoxicillin needed per day is divided into two doses. So, 800 mg/day ÷ 2 = 400 mg/dose.
Step 3: Calculate the volume of amoxicillin suspension needed per dose.
The volume of amoxicillin suspension needed per dose is calculated by dividing the amount of amoxicillin needed per dose by the concentration of the suspension. So, 400 mg/dose ÷ (400 mg/5 mL) = 5 mL/dose.
Therefore, the nurse should administer 5 mL of amoxicillin per dose.
Correct Answer is A
Explanation
Choice A rationale:
Acute acetylsalicylic acid (aspirin) poisoning can lead to hyperpyrexia, which is an extremely high fever, often above 106°F (41.1°C) This hyperpyrexia occurs due to the toxic effects of salicylates on the hypothalamus, the part of the brain that regulates body temperature. Aspirin poisoning can disrupt the body's ability to regulate temperature, leading to a dangerously high fever.
Choice B rationale:
Neck vein distention is not a common symptom of acute acetylsalicylic acid poisoning. This finding is more indicative of issues related to the cardiovascular system, such as heart failure or fluid overload.
Choice C rationale:
Polyuria (excessive urination) is not a typical symptom of acute aspirin poisoning. Aspirin toxicity is more likely to cause dehydration due to increased respiratory rate and metabolic acidosis.
Choice D rationale:
Jaundice, the yellowing of the skin and eyes, is not a characteristic symptom of acute acetylsalicylic acid poisoning. Jaundice typically occurs in conditions affecting the liver, such as hepatitis or liver failure.
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