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

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

Report mild ear pain or bad 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 monitor them during this healing period.

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale

Pain management is crucial after a tonsillectomy. Pain can prevent children from eating or drinking, leading to dehydration. Therefore, ensuring that the child’s pain is well managed is an important part of post-operative care.

Choice B rationale

Mild ear pain or bad breath after surgery can be signs of complications such as infection. Therefore, parents should be instructed to report these symptoms if they occur.

Choice C rationale

After a tonsillectomy, the throat is often sore and swollen. Eating soft foods can help prevent further irritation or injury to the throat. Crunchy foods could scratch the healing throat and cause discomfort.

Choice D rationale

While it’s true that scabs will form on the tonsils as they heal, it’s important to monitor them. If a scab dislodges too early, it can cause bleeding. Therefore, this statement is not entirely accurate and should not be included in the discharge instructions.

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

Explanation

Choice A rationale

Albuterol is a bronchodilator, which means it relaxes the muscles around the airways, allowing them to open up, or dilate. This makes it easier for air to get in and out of the lungs, and for mucus to be cleared out of the airways.

Choice B rationale

Albuterol does not thin the mucus. Other medications, such as hypertonic saline or dornase alfa, are used in cystic fibrosis to thin the mucus and make it easier to cough up.

Choice C rationale

By opening the airways, albuterol can help reduce wheezing, a high-pitched whistling sound that occurs when airways are narrowed.

Choice D rationale

Albuterol can help relieve symptoms of asthma, such as coughing and shortness of breath, by relaxing the muscles of the airways and increasing airflow.

A. Keeping the parents close by, so the infant can see them. B. Expecting the infant’s cooperation during the physical assessment. C. Auscultating heart, lung, and bowel sounds first. D. Smiling and using a gentle voice when talking to the infant. E. Starting the assessment at the infant’s head, beginning with the ears and eyes.

Correct Answer is ["A","C","D","E"]

Explanation

Choice A rationale

Keeping the parents close by during a physical assessment can help to soothe and comfort the infant. The presence of a familiar face can reduce anxiety and fear, making the examination process smoother.

Choice B rationale

Expecting an infant’s cooperation during a physical assessment is not realistic. Infants are not capable of understanding the purpose of the examination and may become distressed or uncooperative.

Choice C rationale

Auscultating heart, lung, and bowel sounds first is a recommended technique when performing a physical assessment on an infant. These assessments are non-invasive and can be done quickly and quietly, which can help to keep the infant calm and relaxed.

Choice D rationale

Using a gentle voice and smiling when talking to the infant can help to create a soothing and comforting environment. This can help to reduce the infant’s anxiety and make the examination process smoother.

Choice E rationale

Starting the assessment at the infant’s head, beginning with the ears and eyes, is a recommended technique. This allows the nurse to observe the infant’s facial expressions and reactions, which can provide valuable information about the infant’s overall health and well- being.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child’s breathing.Which of the following responses should the nurse include? (Select all that apply)

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

Explanation

When performing a physical assessment on an infant, the nurse understands that which of the following techniques will aid in the ability to complete the examination? (Select all that apply)

Correct Answer is ["A","C","D","E"]

Explanation

The nurse is caring for a child who is suffering from hypotonic hyponatremia with a sodium level below 114 mEq/L. Which of the following symptoms will the nurse anticipate when assessing the child?

The parents of a 7-year-old recently diagnosed with cystic fibrosis have received discharge instructions for chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine.Which of the following statements made by the parents indicates an understanding of the discharge instructions?

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The nurse is teaching an adolescent girl about appropriate food choices.Which of the following best explains how to answer Questions based on cognitive development?

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

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