The nurse is doing discharge teaching for a child who has had a tonsillectomy. The nurse tells the client and family that the child should have plenty of fluids. In addition, the nurse would explain to the child’s caregiver that the child may:
Be given ice cream and milk the first postoperative day because these foods make swallowing easier.
Have a painful earache around the third day postoperatively but the earache will be gone by the fourth day.
Vomit dark old blood but the caregiver should call the clinic if the child has bleeding between the fifth and seventh days postoperatively.
Have severe throat pain for up to 2 weeks postoperatively; this is not a concern.
The Correct Answer is C
Choice A reason: Ice cream and milk may coat the throat, increasing mucus and infection risk post-tonsillectomy. Vomiting dark blood is normal, but new bleeding requires attention, making this incorrect, as dairy is not recommended for easing swallowing in the immediate postoperative period for the child.
Choice B reason: Earache from referred pain is common post-tonsillectomy but may persist beyond the fourth day. Vomiting old blood with guidance on new bleeding is more accurate, making this incorrect, as it underestimates the duration and management of ear pain in the recovery period.
Choice C reason: Vomiting dark old blood is normal post-tonsillectomy due to swallowed blood, but fresh bleeding between days 5-7 indicates potential complications, requiring clinic contact. This aligns with pediatric postoperative care, making it the correct explanation for caregivers during discharge teaching for the child.
Choice D reason: Severe throat pain for 2 weeks is expected but should be monitored, not dismissed, as it may signal complications. Guidance on bleeding is more critical, making this incorrect, as it downplays the need for vigilance regarding pain in the postoperative recovery period.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A reason: Offering small portions (1-2 teaspoons) reduces overwhelm for a picky eater, encouraging trying new foods without pressure. This aligns with pediatric nutrition strategies for toddlers, minimizing mealtime stress, making it a correct pointer for the father to implement effectively for his 2-year-old.
Choice B reason: Avoiding sweets as rewards prevents reinforcing unhealthy eating habits and reduces mealtime battles. This promotes intrinsic motivation for eating, aligning with pediatric feeding guidelines, making it a correct strategy to minimize stress for a 2-year-old picky eater during meals with the family.
Choice C reason: Feeding the toddler before the family may disrupt social eating and does not address picky eating directly. Small portions and avoiding rewards are more effective, making this incorrect, as it does not minimize stress or encourage healthy mealtime behaviors in toddlers in a family setting.
Choice D reason: Food jags (preferring one food) are normal in toddlers and should be accommodated, not resisted, to avoid stress. Forcing variety escalates conflicts, making this incorrect compared to strategies like small portions that reduce mealtime tension for picky eaters in early childhood.
Choice E reason: Limiting mealtime to 20 minutes prevents prolonged battles, reducing stress for a picky eater. Short meals respect the toddler’s attention span, aligning with pediatric feeding recommendations, making it a correct pointer to help the father manage mealtime effectively for his 2-year-old child.
Correct Answer is A
Explanation
Choice A reason: Cooking low-fat foods demonstrates a proactive approach to healthy eating, reducing calorie-dense intake and preventing obesity. This aligns with pediatric nutrition guidelines for obesity prevention, making it the best statement indicating caregivers’ preparedness to promote healthy weight in their child during discussions.
Choice B reason: Keeping many snacks encourages frequent eating, potentially high-calorie intake, increasing obesity risk. Low-fat cooking directly addresses dietary quality, making this counterproductive and incorrect compared to a strategy focused on reducing fat content to prevent obesity in school-aged children.
Choice C reason: Limiting fast food to weekends reduces unhealthy intake but does not proactively promote healthy eating like low-fat cooking. Fast food, even occasionally, is high in calories, making this less effective and incorrect for demonstrating optimal preparedness to prevent childhood obesity among caregivers.
Choice D reason: Parental weight history is irrelevant to current actions preventing child obesity. Cooking low-fat foods actively addresses dietary habits, while personal weight concerns do not ensure healthy practices, making this incorrect for illustrating caregivers’ readiness to prevent obesity in their child.
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