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 B
Explanation
A. Tetracycline:
Tetracycline antibiotics, such as doxycycline or minocycline, can be effective against the bacteria that cause impetigo. However, their use in children, especially younger ones, might be limited due to concerns about potential effects on developing teeth and bones. Therefore, they are not the first-line choice for pediatric impetigo.
B. Penicillin:
Penicillin or other antibiotics in the penicillin family, such as dicloxacillin or amoxicillin, are commonly used to treat impetigo caused by Streptococcus pyogenes. Penicillin-based antibiotics are effective against certain strains of the bacteria responsible for impetigo. They are often a preferred choice for pediatric impetigo.
C. Metronidazole:
Metronidazole is an antibiotic with activity against anaerobic bacteria and certain parasites. However, it is not typically used to treat impetigo caused by Staphylococcus aureus or Streptococcus pyogenes.
D. Lindane:
Lindane is an anti-parasitic medication used for conditions like scabies or lice. It is not effective against the bacteria that cause impetigo. Lindane is not an appropriate treatment for impetigo, and its use is limited due to potential neurotoxicity.
Correct Answer is ["1.75"]
Explanation
To administer the correct dose of ampicillin IM, the nurse needs to calculate the amount of solution to draw up from the vial.
The vial contains 1 g of ampicillin in 5 mL of solution, which means that each mL has 200 mg of ampicillin.
To get 350 mg of ampicillin, the nurse needs to divide 350 by 200, which gives 1.75.
Therefore, the nurse needs to draw up 1.75 mL of solution for an IM injection.
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