A nurse is creating a plan of care for a school-age child who is postoperative following a tonsillectomy. Which of the following interventions should the nurse include?

Instruct the child to gargle using salt water every 4 hr.

Give the child fluids using a straw.

Ask the child to take deep breaths and cough every 30 min.

Apply an ice collar to the child's neck.

Answer and Explanation

The Correct Answer is D

A. Instruct the child to gargle using salt water every 4 hr: Gargling can irritate the surgical site and increase the risk of bleeding.
B. Give the child fluids using a straw: Using a straw creates suction, which can dislodge the clot and cause bleeding.
C. Ask the child to take deep breaths and cough every 30 min: Coughing can increase pressure on the surgical site and lead to bleeding.
D. Apply an ice collar to the child's neck. An ice collar reduces swelling, pain, and the risk of bleeding by promoting vasoconstriction.

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Correct Answer is ["12.5"]

Explanation

Dose required per day = 50mg/kg/day × 40 kg = 2000 mg/day

Dose per administration = 2000mg4 doses= 500 mg/dose

Volume to administer:

200mg5ml=40mg/ml

500mg40mg/ml=12.5ml/dose

Correct answer =12.5mL/dose

A. Bounding peripheral pulses B. Cyanotic spells C. Stridor D. Anemia E. heart murmur

Correct Answer is ["B","E"]

Explanation

A. "Bounding peripheral pulses." Bounding pulses are not characteristic of Tetralogy of Fallot. Instead, pulses may be normal or diminished, depending on the severity of the defect.
B. "Cyanotic spells." Tetralogy of Fallot causes decreased oxygenation, leading to periodic cyanotic episodes, particularly during crying or feeding ("tet spells").
C. "Stridor." Stridor is associated with upper airway obstructions, not cardiac defects like Tetralogy of Fallot.
D. "Anemia." Anemia is not a primary finding in Tetralogy of Fallot. Polycythemia (increased red blood cells) is more common due to chronic hypoxia.
E. "Heart murmur." A systolic murmur is common due to the pulmonary stenosis and ventricular septal defect associated with Tetralogy of Fallot.

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A nurse is creating a plan of care for a school-age child who is postoperative following a tonsillectomy. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["12.5"]

Explanation

A nurse is assessing an infant who has Tetralogy of Fallot. Which of the following clinical manifestations should the nurse expect? Select all that apply.

Correct Answer is ["B","E"]

Explanation

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