What is the best liquid for the nurse to give to a child who has had a tonsillectomy?
Cola soda
Fresh-squeezed lemonade
Apple juice
Milk
The Correct Answer is C
A. Cola soda: Carbonated beverages can cause throat discomfort or stinging at the surgical site and may encourage coughing, which can disrupt clots.
B. Fresh-squeezed lemonade: Acidic liquids like lemonade can irritate the throat and cause pain or burning.
C. Apple juice: Non-acidic, clear fluids like apple juice are ideal post-tonsillectomy-hydrating, gentle, and non-irritating.
D. Milk: Milk and dairy products can thicken secretions, increasing the urge to clear the throat, which may dislodge healing clots.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An 18-month-old crying after cleft palate repair: Crying increases tension on sutures but is not immediately life-threatening.
B. An 8-year-old who is swallowing frequently after tonsillectomy: Frequent swallowing is an early sign of bleeding, a potentially life-threatening complication after tonsillectomy. Requires immediate attention.
C. A 15-year-old with IV pain at the insertion site: This may indicate infiltration or phlebitis but is not an immediate emergency.
D. A 12-year-old refusing to ambulate post-appendectomy: Ambulation is important to prevent complications, but refusal does not signal an urgent clinical issue.
Correct Answer is D
Explanation
A. Percuss the upper posterior chest: Percussion helps loosen secretions, but it should be done after bronchodilator administration to maximize effectiveness.
B. Instruct the client to cough: Coughing is encouraged at the end of the procedure to expectorate loosened mucus.
C. Perform vibration while the client exhales slowly through the nose: Vibration is part of the procedure but not the first step. It follows percussion.
D. Administer albuterol by nebulizer: Administering a bronchodilator before airway clearance therapy helps open the airways and make mucus clearance more effective.
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