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.
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Related Questions
Correct Answer is ["A","B","D","F","G"]
Explanation
Rationale:
A. Cutting and filing the child's fingernails frequently can help prevent further damage from scratching and reduce the risk of infection.
B. Using a mild detergent for the child's laundry can help minimize irritation to the skin.
C. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.
D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence.
E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate.
F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.
G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.
Correct Answer is A
Explanation
Rationale:
A. An elevated creatinine level may indicate kidney dysfunction, which is a potential adverse effect of gentamicin therapy. It should be reported to the provider for further evaluation.
B. A creatinine level within the normal range is expected.
C. BUN within the normal range is expected.
D. BUN within the normal range is expected.
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