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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Feelings of displacement may occur, but the most common reaction involves concerns related to body image changes.

B. An identity crisis is less common in the context of scoliosis surgery, where body image and self-esteem issues are more prevalent.

C. Loss of privacy is a concern with surgical interventions, but it may not be the most common reaction.

D. Adolescents with scoliosis often experience body image changes due to the visible effects of the condition and the surgical intervention. Anticipating and addressing these concerns is an essential aspect of nursing care.

A. Grapes B. Raw carrots C. Bananas D. Celery

Correct Answer is C

Explanation

A. Grapes pose a choking hazard for young children due to their size and shape.

B. Raw carrots also present a choking risk for young children and are less suitable for a 2-year- old.

C. Bananas are soft, easily chewable, and less likely to cause choking. They are a safe food choice for a 2-year-old.

D. Celery, when not cut into small, age-appropriate pieces, can be a choking hazard. It is less suitable for a 2-year-old.

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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?

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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?