The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention?

Notify the health care immediately.

Continue to assess for bleeding.

Suction the back of the throat.

Encourage the child to cough.

Answer and Explanation

The Correct Answer is A

A. Notifying the healthcare provider immediately is the best intervention because spitting up blood post-tonsillectomy could indicate bleeding, which requires prompt medical evaluation and intervention.

B. While continuing to assess for bleeding is important, immediate notification of the healthcare provider takes precedence to address potential complications.

C. Suctioning the throat might be contraindicated and could increase the risk of further bleeding.

D. Encouraging coughing is not appropriate as it could increase bleeding risk.

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Correct Answer is D

Explanation

A. Contact precautions are used for infections that spread through direct or indirect contact with contaminated surfaces or items, which is not the case for measles.

B. Droplet precautions are used for infections spread through large respiratory droplets, such as influenza, but measles requires different precautions.

C. Protective environment precautions are used for immunocompromised patients to prevent infections but are not specific to measles.

D. Measles is spread through airborne droplets, so airborne precautions are required to prevent the spread of the virus through the air.

A. Nighttime symptoms occur approximately twice a month. B. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value. C. Symptoms are continuous throughout the day. D. Minor limitations occur with normal activity. E. Daytime symptoms occur more than twice a week.

Correct Answer is ["B","D","E"]

Explanation

A. Nighttime symptoms occurring twice a month is more characteristic of intermittent asthma rather than mild persistent asthma, which might present with nighttime symptoms more frequently.

B. In mild persistent asthma, the peak expiratory flow (PEF) is typically greater than or equal to 80% of the predicted value, indicating relatively good control of asthma symptoms.

C. Continuous symptoms throughout the day are not typical for mild persistent asthma; symptoms usually occur intermittently.

D. Minor limitations with normal activity are expected in mild persistent asthma, as the condition can cause some restrictions in daily activities but not severe impairments.

E. Daytime symptoms occur more than twice a week. This is a key feature of mild persistent asthma. Intermittent asthma = ≤2 days/week. Daily symptoms would indicate moderate persistent.

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The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the admission of a child who has measles. Which of the following isolation precautions should the nurse initiate?

Correct Answer is D

Explanation

A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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