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 C
Explanation
A. Applying bilateral wrist restraints is not a standard intervention after cleft palate repair.
Restraints should be used judiciously and with clear indications to prevent injury.
B. The baby can start feeding normal diet after 24hrs
C. Administering opioids for pain is an appropriate action by the nurse. Opioids control pain in the immediate postoperative period are followed by administration of acetaminophen PRN.
D. Offering fluids through a straw is contraindicated after cleft palate repair, as it can disrupt the healing process and increase the risk of complications. Sippy cups or other appropriate utensils should be used.
Correct Answer is D
Explanation
A. Temper tantrums are not indicative of a learning disability. They are a normal part of development in toddlers.
B. Leaving the room during a tantrum may not be the best approach, as it might lead to feelings of abandonment in the toddler.
C. Temper tantrums are common in toddlers and are not necessarily an indication for a psychological consult unless there are other concerning behaviors or developmental issues.
D. Temper tantrums are often a way for toddlers to express frustration, anger, or a desire for control when they cannot effectively communicate their needs or wants. Understanding this can help parents respond with patience and empathy.
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