A nurse is providing post-operative tonsillectomy instructions to the parents of a child. The nurse informs the parents that the greatest risk for postoperative hemorrhage can occur during which of the following time frames?
2 to 3 days after surgery
7 to 10 days after surgery
4 to 6 days after surgery
11 to 14 days after surgery
The Correct Answer is B
A. The first few days after surgery can involve some bleeding as part of normal healing, but the greatest risk for hemorrhage occurs later.
B. The greatest risk for post-operative hemorrhage after a tonsillectomy is typically 7 to 10 days post- surgery when the scabs formed in the throat start to fall off.
C. The 4 to 6-day window does not correlate with the peak risk for hemorrhage, which is typically observed later in the healing process.
D. The 11 to 14-day period is past the time when hemorrhage is most likely to occur.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Carrying a rescue inhaler at all times is essential for managing asthma attacks and ensuring that relief is available in case of sudden symptoms.
B. The peak expiratory flow meter should be used more frequently than once per week, especially during symptom flare-ups, to monitor asthma control.
C. Cromolyn sodium is a preventive medication and should not be used as a rescue medication during an asthma attack.
D. Physical activity, including basketball, can generally be continued if the child’s asthma is well- controlled, and stopping exercise is not recommended unless symptoms are triggered.
Correct Answer is C
Explanation
A. Assessing vital signs, including temperature and oxygen saturation, is appropriate for monitoring the child's condition and identifying any signs of respiratory distress or infection.
B. Gathering necessary supplies for possible intubation is a proactive measure in case the child experiences airway obstruction. Acute epiglottitis can lead to rapid deterioration in the child's airway.
C. Assessing the child's throat using a tongue blade can trigger airway obstruction in a child with acute epiglottitis, which is a medical emergency. The throat should not be examined visually due to the risk of causing a spasm or obstruction.
D. Reporting an elevated white blood count is a normal part of managing acute infections, such as epiglottitis, and should be done to inform the healthcare provider of the patient's condition.
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