Which food choice is most appropriate for a child who had a tonsillectomy and is now awake and tolerating fluids?

Cherry jello

Lemonade

Mandarin oranges

Applesauce

Answer and Explanation

The Correct Answer is D

a) Cherry jello: Red or colored foods may be mistaken for bleeding post-tonsillectomy, so they are typically avoided initially.

b) Lemonade: Citrus or acidic beverages may irritate the throat post-surgery.

c) Mandarin oranges: Similarly, acidic fruits can cause irritation to the healing throat.

d) Applesauce: It's a smooth and non-irritating option that's commonly recommended post-tonsillectomy as it's gentle on the throat and easy to swallow.

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Correct Answer is D

Explanation

a) Hyperthermia: Hyponatremia can disrupt temperature regulation, but it doesn't typically cause hyperthermia directly.

b) Respiratory distress: While severe cases might cause neurological issues affecting breathing, it's not the primary concern in hyponatremia.

c) Bradycardia: Though possible due to neurological complications, it's not the primary issue to anticipate in hyponatremia.

d) Seizure: Hyponatremia significantly affects brain function due to electrolyte imbalance, predisposing the child to seizures.

A. Hypothermia related to decreased metabolic state B. Acute pain related to the effects of a congenital heart defect C. Ineffective tissue perfusion (peripheral) related to cyanosis secondary to congenital heart defect D. Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow

Correct Answer is C

Explanation

a) Hypothermia related to decreased metabolic state: Unlikely to be directly related to VSD unless it's causing severe complications affecting metabolic function.

b) Acute pain related to the effects of a congenital heart defect: While the child might experience pain due to surgery or interventions, it's not the primary nursing diagnosis for VSD.

c) Ineffective tissue perfusion (peripheral) related to cyanosis secondary to congenital heart defect: VSD causes increased workload on the heart, leading to decreased oxygenation and potentially causing cyanosis and ineffective tissue perfusion.

d) Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow: While pulmonary congestion can occur, ineffective tissue perfusion is more directly related to cyanosis from VSD.

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Which food choice is most appropriate for a child who had a tonsillectomy and is now awake and tolerating fluids?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a child with hyponatremia. The nurse is giving report on this child to a new RN on the pediatric unit and cautions the new nurse to be especially alert for which condition in the child?

Correct Answer is D

Explanation

A nurse has admitted a child with ventricular septal defect (VSD) to the unit. Which nursing diagnosis is appropriate for this child?

Correct Answer is C

Explanation

A mother brings her 2-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

A parent questions how her toddler plays with other toddlers. Which response by the nurse displays the best description of the differences in play between the toddler and the preschool-age child?

An infant born with an omphalocele defect is admitted to the intensive care nursery. Which instruction from the nurse manager to the unlicensed assistive personal is most appropriate?

A nurse is providing information to a group of new mothers. Which rationale would the nurse provide for why newborns and young infants are more susceptible to infection?

A nurse is caring for a 2 year old child in the immediate postoperative period. Which pain assessment tool is most appropriate for this client?

Which food choice is most appropriate for a child who had a tonsillectomy and is now awake and tolerating fluids?

Chelation therapy is an effective treatment for which condition?

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