A nurse is providing discharge instructions to the caregivers of a child who is postoperative following a tonsillectomy. Which of the following statements should the nurse include in the teaching?
"Call your provider if your child has an increase in swallowing."
"Use a warm-mist vaporizer in your child's room at night."
"Encourage your child to blow their nose frequently to clear secretions."
"Offer your child a smoothie through a straw."
The Correct Answer is A
Choice A reason: Increased swallowing in a child after a tonsillectomy can indicate bleeding at the surgical site. Because children may not be able to verbalize bleeding, frequent swallowing is a subtle but critical sign. This requires immediate medical attention, making this the correct answer.
Choice B reason: A warm-mist vaporizer is not recommended because it increases humidity and warmth, which can promote bacterial growth and increase infection risk. Cool-mist vaporizers are safer and more effective for soothing the throat and reducing discomfort. Therefore, this option is incorrect.
Choice C reason: Blowing the nose frequently can increase pressure in the oropharynx and disturb the surgical site, potentially leading to bleeding. This option is unsafe and incorrect.
Choice D reason: Using a straw after tonsillectomy is contraindicated because the suction action can dislodge clots and increase the risk of bleeding. Smoothies can be offered, but they should be given with a spoon or cup, not a straw. This option is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Art therapy is particularly effective for clients with schizophrenia who struggle to verbalize emotions. Creative expression through art provides a nonverbal outlet for feelings and can enhance communication, self-awareness, and emotional regulation. This makes option A the correct answer.
Choice B reason: A speech-language pathologist focuses on communication disorders related to speech, language, and swallowing. While helpful for clients with speech impairments, this referral does not address emotional expression difficulties in schizophrenia. This option is incorrect.
Choice C reason: A social worker assists with social services, housing, and community resources. While valuable for overall support, this referral does not directly address the client’s difficulty expressing feelings. This option is incorrect.
Choice D reason: A recreational therapist focuses on leisure activities to improve socialization and quality of life. While beneficial, recreational therapy does not specifically target emotional expression. This option is incorrect.
Correct Answer is D
Explanation
Choice A reason: Continuing CPR until the provider arrives disregards the client’s DNR order. This violates the client’s autonomy and legal rights.
Choice B reason: Notifying the ethics committee is not an immediate action. Ethics committees provide guidance in complex cases but are not involved in urgent bedside decisions.
Choice C reason: Contacting the family to determine what they would like done is inappropriate. The client’s advance directive takes precedence over family wishes.
Choice D reason: Stopping CPR and informing the nurse of the client’s advance directives is correct. A DNR order legally and ethically directs healthcare providers to withhold resuscitation. Respecting this ensures the client’s wishes are honored and prevents unnecessary interventions.
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