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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: As children grow, their nervous system matures, improving gross (e.g., walking) and fine (e.g., writing) motor skills through myelination and neural connections. This aligns with pediatric neurology development milestones, making it the most correct statement about the child’s nervous system and motor skill progression.

Choice B reason: The nervous system is not fully developed at birth; it matures through childhood with ongoing myelination and synaptic growth. Motor skill development reflects this, making this incorrect compared to the accurate depiction of progressive skill improvement in children as the nervous system matures.

Choice C reason: Children develop gross motor skills (e.g., crawling) before fine motor skills (e.g., grasping), not the reverse. Both skills improve with growth, making this incorrect, as it misrepresents the developmental sequence of motor skill acquisition in the child’s nervous system development.

Choice D reason: Fine motor skills are less developed than gross motor skills in early childhood, but both improve with growth. Stating gross skills are well-developed oversimplifies, making this incorrect compared to the comprehensive statement about both skills increasing with nervous system maturation in children.

A. Repeat the signs and symptoms over and over until they seem to understand. B. Instruct them to treat the reaction as if it’s hypoglycemia, since this condition is more likely. C. Give the caregivers educational pamphlets and videos about diabetes. D. Suggest that the child wear an insulin pump for continuous insulin administration.

Correct Answer is B

Explanation

Choice A reason: Repeating symptoms may help but doesn’t provide immediate emergency guidance, risking delay in critical situations. Treating as hypoglycemia ensures rapid response, making this less practical and incorrect compared to a clear action plan for the caregivers’ concerns about diabetes emergencies.

Choice B reason: Instructing to treat unclear reactions as hypoglycemia prioritizes rapid glucose administration, which is safer and more urgent than mistreating hyperglycemia. This aligns with pediatric diabetes emergency protocols, making it the best initial response to ensure the child’s safety in potential crises.

Choice C reason: Providing pamphlets and videos educates long-term but doesn’t address immediate emergency response needs. Treating as hypoglycemia offers clear guidance, making this supplementary and incorrect compared to the urgent action needed to manage the caregivers’ fears about diabetes emergencies.

Choice D reason: Suggesting an insulin pump addresses insulin delivery, not symptom recognition or emergency response. Treating as hypoglycemia ensures safety in crises, making this irrelevant and incorrect compared to the immediate guidance needed for the caregivers’ concerns about handling diabetes emergencies.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What information is most correct regarding the nervous system of the child?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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