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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["20"]
Explanation
To administer the correct dose of erythromycin ethylsuccinate, which is 800 mg, when the available medication concentration is 200 mg per 5 mL, the nurse needs to calculate the volume of medication to provide the prescribed dose. The calculation is as follows: 800 mg divided by 200 mg equals 4. Then, multiply 4 by 5 mL to get the total volume needed for the 800 mg dose. Therefore, the nurse should administer 20 mL of erythromycin ethylsuccinate to deliver the prescribed 800 mg dose.
Correct Answer is C
Explanation
A. Standard precautions are not sufficient for preventing the spread of mumps, which requires additional measures.
B. Contact precautions are used for infections spread through direct or indirect contact, but mumps requires different precautions.
C. Mumps is spread via respiratory droplets, so droplet precautions are necessary to prevent transmission.
D. Airborne precautions are not required for mumps, as it is not transmitted via airborne routes.
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