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."
"Notify the provider if your child is swallowing frequently."
"Encourage your child to clear their throat as needed."
"Encourage your child to drink liquids through a straw."
The Correct Answer is B
A. "Notify the provider if your child has dark brown blood between their teeth.": Dark brown or old blood is generally not a sign of active bleeding after a tonsillectomy. Concern should focus on bright red blood, which may indicate postoperative hemorrhage requiring prompt medical attention.
B. "Notify the provider if your child is swallowing frequently.": Frequent swallowing can be an early sign of active bleeding in the throat after a tonsillectomy. Parents should be instructed to monitor for this symptom and notify the provider immediately, as it may indicate postoperative hemorrhage.
C. "Encourage your child to clear their throat as needed.": Clearing the throat can disrupt the surgical site and increase the risk of bleeding. Children should be advised to avoid throat clearing and coughing to allow proper healing.
D. "Encourage your child to drink liquids through a straw.": Using a straw can create suction that may dislodge the surgical site and lead to bleeding. Children should be encouraged to sip liquids gently without a straw to prevent trauma to the tonsillar area.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Follow up with physical therapy: Physical therapy is not a routine recommendation for newly diagnosed type 1 diabetes unless there are concurrent musculoskeletal or mobility issues. While exercise is important for blood glucose management, referral to a physical therapist is not required at diagnosis.
B. Store opened vials of insulin for up to 60 days: Most insulin vials are stable for 28–30 days once opened, depending on the type. Storing insulin beyond the recommended period can reduce potency and lead to poor glycemic control.
C. Consult with a nutritionist: Nutritional management is a cornerstone of type 1 diabetes care. A nutritionist can provide individualized meal planning, carbohydrate counting education, and guidance on balancing insulin dosing with food intake, which is critical for achieving glycemic control and preventing complications.
D. Monitor capillary blood glucose daily: Daily monitoring of blood glucose is essential, but in adolescents with type 1 diabetes, multiple checks per day are usually recommended to properly manage insulin dosing and respond to fluctuations. Advising consultation with a nutritionist addresses foundational management more comprehensively at diagnosis.
Correct Answer is D
Explanation
A. Attach the feeding bag tubing to the end of the NG tube: Attaching the feeding bag tubing should occur only after confirming correct tube placement. Connecting the feeding before verification increases the risk of administering formula into the lungs if the tube is misplaced.
B. Flush the tube with water: Flushing helps maintain tube patency, but it should be done after placement has been verified. Flushing an incorrectly placed tube could introduce fluid into the respiratory tract, posing a serious safety risk.
C. Set the administration rate on the feeding pump: Setting the feeding rate is part of the preparation process but is not the priority action. Safety measures, particularly verifying tube placement, must be completed before adjusting pump settings.
D. Check the pH of the gastric secretions: Verifying NG tube placement is the first and most critical step prior to administering enteral feeding. Checking the pH of aspirated gastric contents helps confirm gastric placement and reduces the risk of aspiration or respiratory complications.
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