The nurse is providing discharge instructions to the parent of a patient who had a tonsillectomy/adenoidectomy. Which statement would indicate that the parent needs further teaching?
"We will return to the hospital if my child spits up blood.".
"I'll give my child cherry gelatin since that is her favorite.".
"We will return to the hospital if my child develops difficulty breathing.".
"I'll have my child rinse her mouth frequently with water to prevent a bad breath odor.".
The Correct Answer is B
Choice A rationale:
Returning to the hospital if the child spits up blood is a correct response as it indicates the recognition of potential postoperative bleeding.
Choice B rationale:
Giving the child cherry gelatin, even though it's the child's favorite, might not be appropriate after a tonsillectomy/adenoidectomy, as certain foods can irritate the healing throat.
Choice C rationale:
Returning to the hospital if the child develops difficulty breathing is a necessary step to address any respiratory distress.
Choice D rationale:
Having the child rinse her mouth frequently with water to prevent a bad breath odor is a suitable suggestion to maintain oral hygiene and comfort after surgery. In all three scenarios, the rationale for the correct answers revolves around patient safety, comfort, and appropriate post-operative care. The incorrect choices in each question either introduce potential complications, misunderstandings, or actions that might compromise the patient's well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Stomatitis, inflammation of the oral mucosa, can make eating painful, leading to inadequate nutritional intake. The discomfort caused by stomatitis can discourage the patient from eating, potentially resulting in malnutrition. Ensuring adequate nutritional intake is crucial to support the patient's immune system and healing during antineoplastic therapy.
Choice B rationale:
Dental caries are not directly related to stomatitis. Stomatitis is inflammation of the oral mucosa, whereas dental caries involve decay of tooth structure due to bacterial action on food debris and sugars.
Choice C rationale:
Diarrhea is unrelated to stomatitis. Diarrhea involves frequent, loose, or watery stools, often caused by gastrointestinal infections, certain medications, or dietary intolerances.
Choice D rationale:
Gingival hyperplasia is an overgrowth of gum tissue and is not a likely result of stomatitis. It can be associated with some medications like anticonvulsants.
Correct Answer is C
Explanation
Choice A rationale:
Monitoring the cast daily for foul odors is a proper action to identify potential infection.
Choice B rationale:
Bringing the child for frequent checkups to the clinic is important to ensure the cast is healing properly.
Choice C rationale:
Using the cast stabilizing bar to turn the child can be concerning. There's no mention of a cast stabilizing bar, so this statement suggests a lack of understanding or misinformation.
Choice D rationale:
Massaging the skin around the edges of the child's cast can help prevent skin irritation, so it's an appropriate action.
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