img-download-app
img-download-app

A child has just returned to the surgical floor after undergoing a tonsillectomy. Which of the following actions is most appropriate?

Explanation

•The patient is at high risk for hemorrhage in the first 12-24 hours postoperation after a tonsillectomy.

•The nurse should assess for signs of hemorrhage, such as increased frequency of swallowing, blood in the oropharynx, and nausea from swallowing blood.

•Incorrect: While ice cream is a soothing, cold treat, safety and assessment come first. Also, a clear liquid like a popsicle (but not red, which might mask clues of bleeding) would be more appropriate.

Visit our website for other NCLEX topics now!
Related questions

A newborn baby is diagnosed with the neural-tube defect meningocele. Which of the following definitions most accurately describes meningocele?

A 13-year-old girl who was diagnosed with structural scoliosis after a routine screening at school is being fitted with a scoliosis brace. Which of the following statements by the patient indicates effective use of the brace?

A 6-month-old infant with hydrocephalus is admitted to the hospital due to an enlarged head circumference, bulging fontanelles, and sunset eyes. What is the priority nursing responsibility?

The nurse is assessing a 5-year-old diagnosed with hemolytic uremic syndrome (HUS). Which of the following signs and symptoms are associated with this disease?

Which of the following defects refers to the incomplete closure of the umbilical ring resulting in the protrusion of the omentum and intestine through the opening?

The nurse is caring for a child scheduled for surgery due to Wilm's tumor. Which of the following is a priority?

A child is brought to the emergency room with a high fever, photophobia, and a headache. What important sign would a nurse use to check for meningeal irritation?

A 10-year-old male is admitted to the hospital with a fracture of the left femur. The patient is placed in skeletal traction for 2 days. Which of the following would make the nurse immediately suspect peripheral neurovascular impairment?

The nurse determines that teaching about sudden infant death syndrome has been effective when the patient's mother states which of the following?

A 6-month-old is being evaluated in the emergency department. The child appears cyanotic, has a whooping cough, and is vomiting. The nurse suspects the child has

The nurse is caring for a 15-month-old with acute otitis media that is scheduled for a myringotomy. What is the purpose of this procedure?

A 14-year-old girl has returned to the nursing unit after undergoing an appendectomy. To help relieve her discomfort and facilitate drainage, the nurse should place her in which position?

A charge nurse on a pediatric unit has just been informed of a potential admission from the emergency department. Of the following nurses, which should be assigned to admit the patient?

A nurse is educating a patient about Kawasaki disease. Which statement by the patient is correct?

A patient with sickle-cell anemia has ineffective tissue perfusion related to generalized infarcts. Which of the following interventions should the nurse prioritize in the plan of care?

To confirm the diagnosis of acute lymphoblastic leukemia (ALL), the nurse would prepare the patient for which of the following tests?

A patient is in the emergency room complaining intermittent episodes of loose stools and recurrent abdominal pain. The patient is diagnosed with irritable bowel syndrome (IBS). Which of the following instructions will help reduce the frequency of symptoms?

A nurse is caring for an 8-year-old with increased intracranial pressure. Which of the following statements by the parents would indicate the need for additional teaching about the reason for elevating the head of the bed between 15 and 30 degrees?

A first-time mother rushed her 3-day-old neonate to the emergency room for diarrhea and vomiting. She thinks that her first breast milk, which is yellowish in color, is the cause of her child's condition. She asks the nurse if she should feed her baby with formula milk instead of breast milk. How should you answer her?