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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. It is not possible to stop a seizure once it has started. The focus should be on ensuring the safety of the child during the seizure.
B. Restraint is not recommended during a seizure, as it can lead to injury and increased agitation.
C. Positioning the child laterally helps prevent aspiration and allows for drainage of oral secretions during a seizure.
D. Using a padded tongue blade is not necessary during a seizure and can pose a risk of injury. It is essential to protect the child's airway without inserting any objects into the mouth.
Correct Answer is C
Explanation
A. Collecting all urine may be a part of the diagnostic process, but it is not the primary warning associated with Wilms' tumor.
B. Contact precautions are not typically required for Wilms' tumor.
C. The warning "Do not palpate abdomen" is crucial because palpation can potentially disrupt the tumor and cause hemorrhage.
D. No venipuncture or blood pressure in the left arm is not a typical precaution associated with Wilms' tumor. The emphasis is on avoiding abdominal palpation to prevent trauma to the tumor.
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