A patient has had a tonsillectomy yesterday and is now tolerating clear fluids and per order diet can be increased. The patient asks for something different to "eat." Which is most appropriate for the nurse to offer?

Orange Juice.

Red gelatin.

Vanilla milkshake.

Banana.

Answer and Explanation

The Correct Answer is B

A.   Orange juice is acidic, which can irritate a healing throat after a tonsillectomy. This acidity may cause discomfort and is generally not recommended in the early postoperative period.
B.   Red gelatin is often considered a suitable option after a tonsillectomy because it is soft, easy to swallow, and typically well-tolerated. However, the color (red) may sometimes be avoided in some healthcare settings due to concerns that it can resemble blood in the event of bleeding.
C.   A vanilla milkshake is creamy and can be soothing. However, if the milkshake is thick or cold, it may cause some discomfort for the patient. Additionally, the richness of a milkshake could be heavier than what is typically recommended immediately after surgery.
D.   While bananas are soft and easy to swallow, they may not be the best choice right after a tonsillectomy. They can be somewhat sticky and may require more chewing, which could be uncomfortable for the patient at this stage.

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Correct Answer is C

Explanation

A. While monitoring the child’s temperature is important for assessing fever and overall condition, it does not directly prevent the transmission of streptococcal infection. This response does not address methods to prevent spreading the illness to others.
B. Giving Tylenol (acetaminophen) can help relieve pain and reduce fever, which is important for the child’s comfort. However, this response does not address disease transmission prevention. It’s more about symptom management rather than infection control.
C. Discarding the toothbrush is a key infection control measure. Since the toothbrush can harbor bacteria from the throat, it’s essential to replace it after the child has been treated for streptococcal pharyngitis to prevent re-infection and reduce the risk of spreading the bacteria to others.
D. While encouraging fluid intake is important for recovery and can help soothe a sore throat, this response does not specifically address the prevention of disease transmission. It focuses more on the child’s care rather than controlling the spread of infection.

A. The client's family will also need to take medications to prevent infection. B. A typical course of treatment involves 6 to 9 months of consistent medication use. C. Medications will need to be taken until the Mantoux test is negative., D. Medications will need to be taken for the rest of the client's life, even if the client feels better.

Correct Answer is B

Explanation

A. This statement is not necessarily true for every situation. While close contacts of a person with active TB may need to be tested and could receive preventive treatment (especially if they are at high risk), not all family members will automatically need to take medications.
B. A standard treatment regimen for active pulmonary TB typically lasts at least 6 months, and sometimes longer, depending on the specific circumstances (e.g., drug resistance, extent of disease). Consistent adherence to the medication regimen is crucial to ensure effective treatment and prevent the development of drug-resistant TB.
C. The Mantoux test (or tuberculin skin test) may remain positive even after successful treatment for TB, as it indicates past exposure rather than active disease. The decision to discontinue medications is based on clinical and microbiological evaluations, not solely on the Mantoux test result.
D. While it is crucial for the client to complete the full course of prescribed medications, they do not need to take them for life. Treatment typically lasts for 6 to 9 months, and clients should not continue medication indefinitely. It is essential to emphasize adherence to the treatment regimen but also to note that it is finite.

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A patient has had a tonsillectomy yesterday and is now tolerating clear fluids and per order diet can be increased. The patient asks for something different to "eat." Which is most appropriate for the nurse to offer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of th following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

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A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?

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