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
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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Related Questions
Correct Answer is B
Explanation
A. Projectile vomiting in an infant could be indicative of a serious condition, and advising on burping may not be sufficient. A prompt assessment by a healthcare provider is needed.
B. Projectile vomiting can be a concerning sign and may be associated with conditions such as pyloric stenosis. Bringing the baby to the clinic for evaluation is the appropriate action.
C. Switching formula may not address the underlying cause of projectile vomiting, and it is crucial to determine the cause through a thorough examination.
D. While oral rehydration solution may be used for dehydration, the priority is to assess the infant in person to determine the cause of the vomiting.
Correct Answer is B
Explanation
A. While play in the playroom is generally beneficial, providing a specific activity related to the child's distress from the insulin injection is more targeted.
B. Offering a needleless syringe and a doll allows the child to engage in play that mimics the experience of receiving an injection. This can help the child gain a sense of control and understanding of the procedure.
C. A video game may serve as a distraction, but it may not specifically address the child's distress related to the insulin injection.
D. A storybook about a child who has diabetes may provide education and reassurance, but it may not actively engage the child in a therapeutic play activity related to the injection experience.
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