A nurse is monitoring a child who is postoperative following a tonsillectomy for signs of hemorrhage. Which of the following findings is a sign of this postoperative complication?

Frequent swallowing

Reports of thirst

Reports of pain

Mouth breathing

Answer and Explanation

The Correct Answer is A

A. Frequent swallowing is a common finding after a tonsillectomy due to postoperative throat discomfort and the sensation of having a foreign object in the throat (such as blood clots or mucus).

B. Reports of thirst may indicate dehydration, which can occur after surgery, especially if the child is not drinking enough fluids due to pain or discomfort. While dehydration can be a concern after a tonsillectomy, it is not a specific sign of hemorrhage.

C. Pain is common after a tonsillectomy and can be expected in the postoperative period. While increased pain may be present if hemorrhage occurs, it is not a specific sign of hemorrhage on its own.

D. Mouth breathing does not directly indicate bleeding and is more related to discomfort or difficulty breathing through the nose, especially if the child is experiencing throat pain. It is not a typical sign of hemorrhage.

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Correct Answer is C

Explanation

C. The Eustachian tube in infants is shorter, straighter, and wider compared to adults. This anatomy makes it easier for bacteria or viruses from the nasopharynx to travel up the Eustachian tube and infect the middle ear, contributing to the increased susceptibility to otitis media.

A. Infants spend a significant amount of time lying down, whether in a supine (on their backs) or prone (on their stomachs) position. However, this does not increase the risk of otitis media

B. Sucking on a nipple does create pressure changes in the middle ear but it's not the primary reason infants are more susceptible to otitis media.

D. Sucking on a nipple does create pressure changes in the middle ear but it's not the primary reason infants are more susceptible to otitis media

A. Extreme fatigue B. An airway obstruction C. The presence of dehydration D. The presence of pain

Correct Answer is B

Explanation

B. Leaning forward with the chin thrust out, often described as the "sniffing position," is a classic sign of airway obstruction, particularly in cases of epiglottitis. This positioning helps to maximize airway patency by opening the airway and reducing the risk of further obstruction.

A. Leaning forward with the chin thrust out is not typically associated with extreme fatigue. Instead, it is a specific positioning often seen in individuals with epiglottitis to help alleviate airway obstruction and facilitate breathing.

C. Leaning forward with the chin thrust out is not indicative of dehydration. Dehydration may present with other signs and symptoms such as dry mucous membranes, decreased urine output, sunken fontanelle (in infants), and poor skin turgor.

D. Pain may be present in a child with epiglottitis but leaning forward with the chin thrust out is not primarily indicative of pain. This positioning is primarily a compensatory mechanism to alleviate airway obstruction rather than a response to pain.

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A nurse is monitoring a child who is postoperative following a tonsillectomy for signs of hemorrhage. Which of the following findings is a sign of this postoperative complication?

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