A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage?

Poor fluid intake

Increased pain

Drooling

Frequent swallowing

Answer and Explanation

The Correct Answer is D

A. Poor fluid intake may be a concern postoperatively, but it is not a specific manifestation of hemorrhage.

B. Increased pain is expected after a tonsillectomy, especially in the immediate postoperative period, but it is not a specific sign of hemorrhage.

C. Drooling is not related to haemorrhage post tonsillectomy.
D. This symptom may indicate that the child is swallowing blood that is oozing from the surgical site. It is important for healthcare providers to recognize this sign promptly as post-tonsillectomy hemorrhage can be a serious complication requiring immediate attention.

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Correct Answer is D

Explanation

A. Discouraging visits from friends may contribute to social isolation, which can negatively

impact the child's psychosocial well-being. Encouraging social interactions, when appropriate, is generally beneficial.

B. While play therapy may be useful in certain situations, it may not be the primary focus for a 10-year-old child. Encouraging age-appropriate activities and interactions, including school work, is important.

C. Varying the child's schedule each day might introduce unnecessary stress and disrupt the sense of routine and stability, which is essential for psychosocial well-being.

D. Encouraging the client to complete school work is aligned with Erikson's psychosocial stage of industry vs. inferiority. This stage emphasizes the importance of developing competence and skills, including academic achievements, during the school-age years. Supporting the child's educational needs is crucial for positive psychosocial development.

A. "Why does it bother you that your child has wet the bed?" B. "Your child did not seem upset, so I wouldn't worry about it if I were you." C. "It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." D. "I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me."

Correct Answer is C

Explanation

A. This response may come across as confrontational and may not address the parent's concerns effectively.

B. Dismissing the parent's worry may not be helpful in addressing their concerns and emotions.

C. Hospitalization can be a stressful experience for children, and regression in toileting skills is a common response. Providing reassurance that this is expected can help alleviate the parent's
embarrassment and anxiety.

D. Expressing understanding and empathy is good, but it does not provide information about the expected regression in toileting skills during hospitalization.

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A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?

Correct Answer is D

Explanation

A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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