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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?

A.

Poor fluid intake

B.

Increased pain

C.

Drooling

D.

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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Related Questions

Correct Answer is A

Explanation

A. Crushed ice is a cold and soothing option that can help reduce throat discomfort after tonsillectomy. It also provides hydration without irritation.


B. Orange juice is acidic and may cause discomfort or irritation to the surgical site. It is not recommended immediately after a tonsillectomy.


C. A vanilla milkshake may be too thick and could be irritating to the surgical site. Additionally, dairy products may increase mucus production.


D. Cranberry juice is acidic and may cause irritation to the surgical site. It is not the best choice for immediate postoperative hydration after tonsillectomy.

Correct Answer is A

Explanation

A. Placing the child on droplet precautions is the first priority to prevent the potential spread of infection, as epiglottitis is often caused by bacterial infection.


B. While obtaining an x-ray may be part of the diagnostic process, the immediate concern is to prevent the spread of infection.


C. Administering IV fluids may be necessary, but placing the child on droplet precautions takes precedence.


D. Initiating IV antibiotics is an essential treatment for epiglottitis, but placing the child on droplet precautions is the initial step to prevent transmission to healthcare providers and other patients.

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