A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include?
"Notify the provider if your child has dark brown blood between their teeth."
"Encourage your child to drink liquids through a straw."
"Notify the provider if your child is swallowing frequently."
"Encourage your child to clear their throat as needed."
The Correct Answer is C
Rationale:
A. Dark brown blood indicates old blood and is not a sign of active bleeding.
B. Drinking through a straw can increase the risk of bleeding after tonsillectomy, so it should be avoided.
C. Frequent swallowing may indicate discomfort or bleeding and should prompt notification of the healthcare provider.
D. Clearing the throat can also increase the risk of bleeding and should be discouraged after tonsillectomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
- A) Checking clothing for loose buttons is important because toddlers can easily remove and swallow small objects, which can lead to choking hazards.
- B) Adjusting the water heater temperature to 54° C (129.2° F) is not recommended as it poses a risk of scalding. Safe water temperatures for households with toddlers should be at or below 49° C (120° F).
- C) Placing screens on all windows is a crucial safety measure to prevent toddlers from falling out of open windows, which can lead to serious injuries or fatalities.
- D) Providing balloons for play is not advisable as uninflated or broken balloons can be a choking hazard for toddlers. It is one of the leading causes of choking deaths in children.
Correct Answer is B
Explanation
Rationale:
A. Rolling over from back to abdomen typically occurs around 4 to 6 months of age.
While it may be slightly delayed, it is not usually concerning at 5 months.
B. Head lag at 5 months is abnormal and may indicate weakness or poor muscle tone, warranting further evaluation by the healthcare provider.
C. Not all infants are able to hold a bottle at 5 months, and this finding alone may not be concerning.
D. The grasp reflex typically diminishes by 3 to 4 months of age, so it may not be present at 5 months. While it's a developmental milestone, its absence alone may not warrant immediate concern at this age.
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