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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. A soft, non-tender abdomen would be normal and not suggestive of any specific pathology.
B. A normal appearing perineum would not be expected with an anorectal malformation, which typically presents with a visible defect in the perineum.
C. Meconium leakage via the vagina or urethra is a possible sign of an anorectal malformation. This could occur if there is a fistula connecting the gastrointestinal tract to the urinary or genital tract.
D. Poor sucking reflex is not directly associated with anorectal malformations but may occur in certain other conditions, such as central nervous system issues.

Correct Answer is []

Explanation

Condition:

Acute Laryngotracheobronchitis (Croup)

The harsh, bark-like cough and hoarse cry are classic symptoms of croup (acute laryngotracheobronchitis), a viral infection that typically affects young children. Mild work of breathing and stridor (a high-pitched sound during inspiration) indicate upper airway narrowing, which is characteristic of croup.

Actions to Take

Prepare to administer IV steroids:

Steroids (e.g., dexamethasone) are used to reduce airway inflammation in croup and are considered first-line treatment. They help reduce the swelling in the upper airways, making breathing easier and improving stridor and cough. IV steroids are often used in more severe cases, such as in an emergency department setting.

Administer racemic epinephrine:

Racemic epinephrine is a bronchodilator used to treat moderate to severe cases of croup. It works by reducing inflammation and relaxing the muscles of the upper airway, which helps relieve stridor and airway obstruction. This medication is typically given via nebulizer in the emergency department to provide rapid relief.

Parameters to Monitor

Oxygen saturation:

It is important to monitor oxygen saturation (SpO2) to assess if the child is getting enough oxygen. Croup can lead to hypoxia if the airway becomes severely narrowed. Monitoring oxygen levels ensures that the child is not deteriorating and allows for appropriate interventions if oxygen levels fall below normal (typically below 92% or 90%, depending on clinical guidelines).

Respiratory rate:

Monitoring the respiratory rate provides insight into how well the child is maintaining adequate ventilation. In cases of croup, increased work of breathing and distress can cause a higher respiratory rate. If the rate becomes very high or very low, it may indicate worsening distress or impending respiratory failure. Regular monitoring helps guide treatment and reassessment.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a female newborn with an apparent anorectal malformation. The nurse should assess the infant for which of the following other potential finding?

Correct Answer is C

Explanation

Correct Answer is []

Explanation

Actions to Take

Parameters to Monitor

A nurse is caring for a client with cognitive impairment (CI) and an IQ score of 45. The nurse should plan client care based on which of the following expectations for an IQ score of 45.

A nurse is providing discharge teaching about nutrition to the parents of a 9-year-old child with cystic fibrosis (CF). The nurse should recognize that which statement made by the mother indicates understanding about nutrition?

The nurse is caring for a newborn with a diagnosis of tracheoesophageal fistula (TEF). Which of the following assessment findings may be present in a newborn with TEF? (Select All that Apply.)

A nurse is assessing a 3-year-old child with autistic behaviors, an elongated facial structure, and protrusion of the ears. The nurse suspects that the child may have which of the following syndromes?

A charge nurse on a pediatric unit is observing a newly licensed nurse provide care for a child diagnosed with acute epiglottis. Which of the following actions by the newly licensed nurse indicates that the charge nurse should intervene?

A nurse is caring for an infant who has inadequate motility of a portion of the intestine, resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?

A nurse is caring for a 5-year-old child who is 3 hours post-operative uncomplicated tonsillectomy. Which of the following actions are appropriate post op care? (SELECT ALL THAT APPLY)

A nurse is caring for an infant with respiratory syncytial virus (RSV). Which of the following are appropriate nursing interventions when prioritizing care for an infant with RSV? (Select All that Apply.)