What instructions must the nurse include in the post-operative discharge instruction for a 6-year-old who just had a tonsillectomy? (Select All That Apply).

Pain needs to be controlled, children will not eat or drink when in pain and can quickly become dehydrated.

Report mild ear pain or foul breath after surgery.

Your child may eat soft foods, no crunchy foods for the first few days.

Your child will form scabs on their tonsils as they heal, there is no need to worry during this healing period.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale

After a tonsillectomy, it’s crucial to manage the child’s pain effectively. Pain can deter children from eating or drinking, which can lead to dehydration. Therefore, ensuring that the child’s pain is well managed is an essential part of post-operative care.

Choice B rationale

Mild ear pain or foul breath after surgery are common symptoms following a tonsillectomy. These symptoms do not necessarily indicate a problem, but they should be monitored. If these symptoms persist or worsen, it may be necessary to seek medical attention.

Choice C rationale

After a tonsillectomy, it’s recommended that the child eat soft foods for the first few days. Crunchy foods can irritate the throat and delay healing. Therefore, avoiding crunchy foods initially is an important part of post-operative care.

Choice D rationale

Following a tonsillectomy, it’s normal for the child to form scabs on their tonsils as they heal. This is a normal part of the healing process and is not a cause for concern.

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Correct Answer is B

Explanation

Choice A rationale

Distracting the patient and then taking the blanket for washing might seem like a practical solution, but it can lead to trust issues. The patient may feel betrayed or tricked, which can negatively affect the therapeutic relationship between the nurse and the patient.

Choice B rationale

Acknowledging that the blanket seems to be his favorite and allowing him to keep it with him is the best course of action. The blanket likely provides comfort and security to the patient.

Taking it away, even temporarily, can cause distress. The nurse should respect the patient’s attachment to the blanket and look for alternative solutions for maintaining hygiene, such as offering to clean the blanket when the patient is ready to part with it temporarily.

Choice C rationale

Telling the patient that you want to take the blanket home to wash and that you will bring it back might not be reassuring enough for the patient. The patient may worry about the blanket getting lost or not returned, which can cause unnecessary anxiety.

Choice D rationale

Suggesting getting him another blanket so that he will not mind giving up the current one might not work. The patient’s attachment is likely to the specific blanket, not to blankets in general. A new blanket will not have the same familiarity and comforting effect as the old one.

A. Inability to sit without support. B. Inability to raise head when in prone position. C. Inability to bring an object to mouth. D. Inability to pick up an object with fingers.

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

Explanation

Choice A rationale

At one month of age, infants are not expected to sit without support. Therefore, an inability to do so would not be a cause for concern at this age.

Choice B rationale

By one month, infants should be able to briefly raise their head when placed in a prone (on their stomach) position. If an infant is unable to do this, it could indicate a potential developmental delay or muscle weakness.

Choice C rationale

At one month, infants typically have not yet developed the coordination to bring an object to their mouth. Therefore, an inability to do so at this age would not be a cause for concern.

Choice D rationale

By one month, infants are not expected to have the fine motor skills necessary to pick up an object with their fingers. Therefore, an inability to do so would not be a cause for concern at this age.

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What instructions must the nurse include in the post-operative discharge instruction for a 6-year-old who just had a tonsillectomy? (Select All That Apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient arrives at the hospital with a stained, ragged baby blanket.When his mother tries to remove the blanket to take it home for washing, he hides under the bed and clings to the blanket.What is the best course of action for the nurse?

Correct Answer is B

Explanation

A nurse is assessing a one-month-old infant.Which of the following findings should the nurse report to the provider?

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

Explanation

The mother of an infant who has been treated for recurrent respiratory infections asks the nurse why infants are at increased risk for respiratory infections.Which of the following is the best response by the nurse?

The nurse is caring for a newborn suspected to have esophageal atresia. Which of the following interventions must be the FIRST priority?

When assisting in obtaining informed consent for a child, which of the following actions were taken? Select all that apply.

The nurse recognizes that which of the following is a key aspect of patient-centered care and the medical home model?

The nurse is reviewing the intake and output record from the previous 8 hours for an infant admitted with dehydration.Based on the information in the chart, what does the nurse determine about this patient during the 8-hour shift?

The nurse is providing education about age-appropriate activities to the parents of a 7-year-old child. Which of the following statements indicates a need for further teaching?

The school-based nurse is working with the local school district to promote health and wellness in a school with a large proportion of minority and underprivileged students.Which of the following will be included in the planning? Select all that apply.

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