A nurse is preparing to discharge a child who has undergone a tonsillectomy. What is the most important discharge instruction that the nurse should give to the child and family?
Avoid giving the child aspirin or other salicylates for pain relief.
Encourage the child to drink plenty of fluids and eat soft foods.
Monitor the child for signs of bleeding, such as frequent swallowing or spitting.
Notify the physician if the child has a fever, sore throat, or ear pain.
The Correct Answer is C
Choice A reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent Reye syndrome, a rare but serious condition that can affect the brain and liver.
Choice B reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps promote hydration and healing of the throat.
Choice C reason: This instruction is the most important for the nurse to give to the child and family, as it helps detect postoperative hemorrhage, a potentially life-threatening complication of tonsillectomy.
Choice D reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps identify infection or inflammation of the throat or ears.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not offer any choice or control to the toddler. It may also sound scary or intimidating to the toddler.
Choice B reason: This statement by the nurse would be most appropriate for a 2-year-old toddler, as it offers a limited choice and a sense of control to the toddler. It also shows respect for the toddler's preferences and autonomy.
Choice C reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not offer any choice or control to the toddler. It may also sound demanding or threatening to the toddler.
Choice D reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not relate to the physical assessment. It may also distract or confuse the toddler from what is being done.
Correct Answer is D
Explanation
Choice A reason: This statement by the parent indicates an understanding of the teaching, as it shows adherence to the recommended blood glucose monitoring schedule.
Choice B reason: This statement by the parent indicates an understanding of the teaching, as it shows adherence to the prescribed insulin regimen.
Choice C reason: This statement by the parent indicates an understanding of the teaching, as it shows awareness of how to treat hypoglycemia.
Choice D reason: This statement by the parent indicates a need for further teaching, as it shows a lack of understanding of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.