Nursing care of the child who is postoperative from a tonsillectomy should include: (Select All That Apply)?
Apply warm, moist compresses to the neck area
Observe for excessive swallowing
Provide liquid acetaminophen with codeine as ordered.
Place child in a partially prone position with head turned to one side in the immediate post-operative period.
Offer orange juice, lemonade, or milk to drink once awake and alert.
Correct Answer : B,C,D
A. Apply warm, moist compresses to the neck area:
Warm, moist compresses are not typically used in the postoperative care of a tonsillectomy. Cold compresses or ice packs may be recommended to reduce swelling.
B. Observe for excessive swallowing:
Excessive swallowing may indicate bleeding, and close monitoring for any signs of bleeding is important.
C. Provide liquid acetaminophen with codeine as ordered:
Pain management is crucial postoperatively, and providing pain medication as ordered helps ensure the child's comfort.
D. Place the child in a partially prone position with the head turned to one side in the immediate post-operative period:
This position helps facilitate drainage and reduce the risk of aspiration. However, the specific positioning may vary based on the surgeon's preference.
E. Offer orange juice, lemonade, or milk to drink once awake and alert:
Citrus juices and milk are usually avoided in the immediate postoperative period to prevent irritation to the surgical site. Clear fluids or those recommended by the healthcare provider are typically introduced gradually.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Haemophilus influenza type b (Hib):
Hib vaccine protects against Haemophilus influenzae type b, which can cause serious infections in young children.
B. Varicella (VAR):
Varicella vaccine protects against chickenpox, a contagious viral infection.
C. Measles, Mumps, and Rubella (MMR):
MMR vaccine protects against measles, mumps, and rubella. This vaccine is typically given around the age of 1 and then again at age 4-6.
D. Meningococcal (MCV4):
Meningococcal vaccine (MCV4) is usually recommended for adolescents, not typically at age 5. It protects against certain strains of bacteria that can cause meningitis.
E. Hepatitis B (Hep B):
Hep B vaccine protects against hepatitis B, a viral infection that can cause liver disease.
Correct Answer is D
Explanation
A. The child has the beginning signs of tooth eruption:
Teething usually begins around 4-7 months of age, so the beginning signs of tooth eruption (teething) are typical at six months.
B. The child is able to track and follow objects:
By six months, most infants can track and follow objects with their eyes, which is a normal developmental milestone for this age.
C. The child’s anterior fontanel is open:
The anterior fontanelle, the soft spot at the top of the baby's head, remains open until around 18-24 months of age, so its presence at six months is expected and considered normal.
D. The child’s posterior fontanel is open.
By six months of age, the posterior fontanelle, the soft spot located at the back of the baby's head, typically closes or is significantly smaller than it was at birth. The posterior fontanelle usually closes between 2 to 4 months of age in most infants. If it remains noticeably open by six months, it might warrant further evaluation as it could be indicative of a developmental or medical issue.
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