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.
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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Related Questions
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.
Correct Answer is D
Explanation
A. Aspirin is not recommended for children due to the risk of Reye's syndrome, a serious condition that can occur when aspirin is given to children recovering from viral infections. Instead, acetaminophen or ibuprofen is preferred for fever management in children. Therefore, this option is not appropriate.
B. Nasopharyngitis is typically caused by viral infections, and antibiotics are ineffective against viruses. Antibiotics may be prescribed if a bacterial infection is diagnosed, but this is not the standard treatment for nasopharyngitis.
C. While vaccinations are crucial for preventing certain illnesses, there is no specific vaccine for nasopharyngitis, which is caused by various viruses. However, vaccinations for other respiratory illnesses (like influenza) can help reduce the risk of complications. This statement may cause confusion since it implies a direct preventive measure for nasopharyngitis itself.
D. Teaching children about proper hand hygiene is essential, as handwashing can significantly reduce the transmission of viruses that cause nasopharyngitis and other infections.
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