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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. While monitoring for increased intracranial pressure is important, measuring head circumference every shift may not be necessary unless there is a specific indication or change in the child's condition.
B. Admitting the child to a private room is necessary to reduce the risk of spreading the infection to others.
C. Placing the child in a semi-Fowler's position can help reduce intracranial pressure and promote comfort.
D. Implementing seizure precautions is important, as children with bacterial meningitis are at risk for seizures.
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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