A nurse understands that it is a priority to place a child in which position post-operative tonsillectomy.
Sitting upright
Prone position
Prone or side-lying position
Lying flat on their back
The Correct Answer is C
A. Sitting upright may help with drainage and comfort once the child is more awake, but immediately post-op, it is not the safest initial position because the child may still be drowsy from anesthesia and at risk for airway obstruction.
B. Prone position alone does allow secretions to drain forward, but it is not always the most comfortable or safest option for all children.
C. Prone or side-lying position is the priority immediately after a tonsillectomy. These positions facilitate drainage of secretions, reduce the risk of aspiration, and help maintain a patent airway while the child is recovering from anesthesia. Once fully awake and alert, the child may then be positioned upright if tolerated.
D. Lying flat on the back increases the risk of airway obstruction and aspiration from blood or secretions, making it unsafe post-operatively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Applying diaper cream only at bedtime does not provide adequate protection. Barrier creams (such as zinc oxide or petroleum jelly) should be applied with each diaper change to protect the skin from prolonged contact with urine and stool.
B. Keeping the diaper area moist promotes skin breakdown and increases the risk of fungal and bacterial overgrowth. The goal is to keep the area clean and dry.
C. Changing the diaper every 2 to 3 hours (or sooner if soiled) helps minimize skin exposure to irritants, reducing the likelihood of diaper dermatitis. Frequent changes, along with gentle cleaning and use of barrier ointments, are the most effective preventive strategies.
D. Using scented wipes can irritate the sensitive skin of infants. Unscented wipes or plain water with a soft cloth are preferred.
Correct Answer is C
Explanation
A. Living in a warm climate is not a recognized risk factor for otitis media. Seasonal variations (cold/flu season) may play a role, but climate alone is not a cause.
B. Being breastfed actually protects against otitis media because breast milk provides maternal antibodies and helps strengthen the immune system.
C. Exposure to secondhand smoke is one of the most common and well-documented risk factors for otitis media. Smoke irritates the respiratory tract and Eustachian tubes, leading to inflammation, fluid retention, and increased susceptibility to infection.
D. Drinking too much milk does not directly cause otitis media, though bottle-feeding (especially when lying flat) can increase the risk by allowing fluid to enter the middle ear.
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