A nurse is caring for a 5-year-old child who is 3 hours post-operative uncomplicated tonsillectomy. Which of the following actions are appropriate post op care? (SELECT ALL THAT APPLY)
Promote quiet activities and rest
Provide liquids with straws
Closely monitor ABC
Monitor and treat pain
Apply ice collar as ordered
Correct Answer : A,C,D,E
A. Quiet activities and rest should be promoted to ensure the child is not overstimulated and to allow for proper recovery.
B. Liquids should be given without straws to avoid potential injury to the surgical site.
C. Monitoring the airway, breathing, and circulation (ABC) is essential, particularly in the first few hours post-surgery.
D. Pain management is critical to ensure the child’s comfort and to help with healing.
E. Applying an ice collar can help reduce swelling and pain after a tonsillectomy.
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Correct Answer is D
Explanation
A. While written communication may be helpful for some children, it is not the primary recommendation for those with hearing loss. Other methods, such as sign language, are more effective for communication.
B. Avoiding social interaction is not recommended. Social interaction is important for the child's development and emotional well-being, and it should be encouraged.
C. While avoiding contact with sick individuals is generally good advice to prevent infections, it does not directly address communication strategies for children with hearing loss.
D. Interacting using American Sign Language is highly beneficial for children with hearing loss. It provides an effective method for communication, especially when auditory devices like hearing aids or cochlear implants are not sufficient on their own. This choice fosters inclusion and supports language development.
Correct Answer is C
Explanation
A. While some form of restraint may be necessary, explaining the procedure first is important for reducing anxiety and helping the toddler understand what is going to happen.
B. Gathering supplies is essential but should come after preparing the child and ensuring they are mentally ready.
C. Explaining the procedure to the toddler helps ease anxiety and ensures they are informed, even at a young age.
D. Routine vital sign assessment is not necessary for a simple IM injection unless the child has a specific medical condition.
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