When caring for a patient that has undergone a tonsillectomy, the nurse's priority assessment in identifying a potential complication would include?
Assess breathing pattern for snoring.
Assess mucous membranes for moisture.
Assess pain level.
Observe for continuous swallowing.
The Correct Answer is D
A. While changes in breathing patterns can indicate airway obstruction, snoring alone is not the most specific indicator of a complication after tonsillectomy. It could indicate swelling or an obstructed airway but does not specifically indicate bleeding.
B. Checking the mucous membranes for moisture is important in general nursing care to assess hydration status. However, it is not the most immediate priority in the post-tonsillectomy setting, where the primary concern is to monitor for bleeding.
C. Assessing pain is important for overall patient comfort and to evaluate the effectiveness of pain management strategies. However, pain alone does not directly indicate a complication like bleeding, which is a critical concern in this scenario.
D. Continuous swallowing can be an early sign of bleeding after tonsillectomy, as patients may swallow frequently to clear blood from the throat. If a patient is swallowing more often than normal, it could indicate that they are swallowing blood, which would require immediate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Topical corticosteroids are not typically used for impetigo, as it's a bacterial infection.
B. Impetigo is highly contagious, so contact precautions are essential to prevent the spread of infection. This includes wearing gloves and a gown when providing direct care, and using dedicated equipment for the child.
C. A wood lamp is used to examine the skin for fungal infections, not bacterial infections like impetigo.
D. Impetigo typically doesn't require dressings. If dressings are used, they should be removed gently to avoid further skin damage.
Correct Answer is A
Explanation
A. LDL cholesterol, often referred to as "bad" cholesterol, is a major risk factor for atherosclerosis and PVD. High levels of LDL contribute to the buildup of plaque in the arteries, which can lead to these conditions.
B. While high triglycerides can be a risk factor, low triglycerides are generally not associated with increased risk of atherosclerosis or PVD.
C. Low LDL cholesterol is actually considered beneficial and can reduce the risk of heart disease.
D. HDL cholesterol, often called "good" cholesterol, helps remove LDL cholesterol from the bloodstream. High levels of HDL are actually protective against heart disease and PVD.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.