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 B
Explanation
The correct answer is choiceb. “We will place the diaper under the straps.”
Choice A rationale:
Adjusting the straps daily is not recommended.The straps should only be adjusted by a healthcare professional to ensure proper fit and effectiveness.
Choice B rationale:
Placing the diaper under the straps is correct.This helps to keep the harness clean and dry, and ensures that the straps remain in the correct position.
Choice C rationale:
The duration of wearing the Pavlik harness is typically longer than 2 weeks.It is usually worn for about 6-12 weeks, depending on the doctor’s recommendation.
Choice D rationale:
Applying lotion to the skin under the straps is not advised as it can cause skin irritation and affect the fit of the harness.
Correct Answer is D
Explanation
Choice A rationale:
An increase in venous pressure is not an indication that furosemide, a loop diuretic, is effective. In fact, increased venous pressure could suggest worsening heart failure. Loop diuretics like furosemide work by promoting the excretion of excess fluid and sodium from the body, leading to a decrease in blood volume and relieving symptoms of heart failure, such as peripheral edema and pulmonary congestion.
Choice B rationale:
A decrease in cardiac output is not the desired effect of furosemide. Furosemide helps reduce fluid overload and congestion in the heart and lungs, ultimately improving cardiac output. If cardiac output decreases, it indicates that the medication might not be effective or the heart failure is worsening.
Choice C rationale:
An increase in potassium levels is not directly related to the effectiveness of furosemide. Furosemide can cause potassium depletion as it increases the excretion of potassium in the urine. Monitoring potassium levels is essential because severe hypokalemia can lead to cardiac arrhythmias. However, the absence of an increase in potassium levels does not indicate furosemide's effectiveness.
Choice D rationale:
A decrease in peripheral edema is the desired effect of furosemide. By reducing fluid retention, furosemide helps decrease peripheral edema, which is a common symptom of heart failure. The nurse should assess the child for a decrease in peripheral edema to determine the medication's effectiveness. Monitoring daily weights and assessing for reduced edema are key indicators of furosemide's efficacy.
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