A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy.
Which of the following actions should the nurse plan to take to prevent aspiration?
Suction the nasopharynx as needed.
Withhold fluids until the client demonstrates a gag reflex.
Perform chest physiotherapy.
Place a bedside humidifier at the head of the client's bed.
The Correct Answer is B
A. Suctioning the nasopharynx as needed can help maintain airway patency but does not directly prevent aspiration during the recovery period.
B. Withholding fluids until the client demonstrates a gag reflex is a standard precaution to prevent aspiration, particularly in the immediate postoperative period.
C. Chest physiotherapy is not specifically indicated for preventing aspiration in the post- tonsillectomy period.
D. Placing a bedside humidifier at the head of the client's bed is not a specific intervention for preventing aspiration after tonsillectomy. Monitoring the client's ability to swallow and the return of the gag reflex is more relevant.
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Related Questions
Correct Answer is C
Explanation
A. Gastritis is not an infectious condition and is unlikely to be the source of the child's rheumatic fever.
B. Chickenpox is caused by a different pathogen (varicella-zoster virus) and is not associated with the development of rheumatic fever.
C. Rheumatic fever often follows untreated or inadequately treated streptococcal infections, particularly streptococcal pharyngitis (sore throat). A sibling with a recent sore throat is a significant piece of information.
D. Fifth disease is caused by parvovirus B19 and is not known to be a precursor to rheumatic fever.
Correct Answer is B
Explanation
A. Giving a toddler adult vitamins may lead to excessive intake of certain nutrients and is not recommended without consulting a healthcare provider.
B. Quality of food is crucial for toddlers, as they have small stomachs. Providing nutrient-dense foods ensures that they receive essential vitamins and minerals.
C. The average daily caloric intake for a toddler is considerably less than 3,000 calories. This statement reflects a misunderstanding of a toddler's nutritional needs.
D. Toddlers typically have unpredictable appetites. While they may go through phases of increased appetite, it is not a consistent expectation. The emphasis should be on providing a balanced and nutritious diet.
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