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 C

Explanation

A. Turning the head to the side is not recommended, as it can cause blood to drain into the throat.

B. Applying pressure to the forehead does not help control nasal bleeding.

C. Sitting upright and applying pressure to the sides of the nose is the correct action to stop the bleeding and prevent blood from going down the throat.

D. Keeping the child flat can increase the risk of blood entering the airway, which can lead to aspiration.

A. Remove objects from the client's bed. B. Place the client in a side-lying position. C. Assess the client's airway patency. D. Place a tongue depressor in the client's mouth.

Correct Answer is ["A","B","C"]

Explanation

A. Removing objects from the bed is necessary to prevent injury during the seizure.

B. Placing the client in a side-lying position helps to maintain an open airway and reduces the risk of aspiration.

C. Assessing airway patency is crucial to ensure the client can breathe adequately during and after the seizure.

D. Placing a tongue depressor or any object in the client's mouth is contraindicated, as it can cause injury or obstruct the airway.

E. Restraining the client is also contraindicated because it can cause harm or increase agitation during a seizure.

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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 school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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