A nurse is caring for a child in the postoperative period following a tonsillectomy. Which of the following actions should the nurse take?
Position the child supine.
Administer analgesics on a schedule.
Encourage the child to blow their nose gently.
Offer orange juice.
The Correct Answer is B
Choice A reason: Positioning a child supine after a tonsillectomy is not recommended due to the risk of respiratory complications. Elevating the head of the bed is preferred to prevent aspiration and facilitate breathing.
Choice B reason: Administering analgesics on a schedule is crucial for effective pain management. It helps maintain consistent pain relief, which is important for encouraging fluid intake and preventing dehydration.
Choice C reason: Encouraging a child to blow their nose gently after a tonsillectomy is not advised because it can increase the risk of bleeding. Instead, gentle mouth breathing and avoiding nose blowing are recommended.
Choice D reason: Offering orange juice after a tonsillectomy is not ideal as acidic beverages can irritate the throat. It's better to provide non-acidic fluids like water or apple juice to keep the child hydrated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A sweat chloride content of 85 mEq/L is indicative of cystic fibrosis, as normal values are below 30 mEq/L, and values above 60 mEq/L are diagnostic for cystic fibrosis.
Choice B reason: Hard, packed stools could be a sign of cystic fibrosis but are not as diagnostic as a sweat chloride test.
Choice C reason: Increased blood levels of fat-soluble vitamins are not typically associated with cystic fibrosis; patients often have deficiencies due to malabsorption.
Choice D reason: A chest x-ray negative for atelectasis does not indicate cystic fibrosis, as atelectasis can be present in many conditions.
Correct Answer is B
Explanation
Choice A reason: This choice is incorrect because a CD4+ T-cell count of less than 200 cells/µL and the presence of PCP are indicative of AIDS, not the chronic asymptomatic phase of HIV.
Choice B reason: This is the correct choice. A CD4+ T-cell count of less than 200 cells/µL and an opportunistic infection such as PCP meet the CDC criteria for an AIDS diagnosis.
Choice C reason: This choice is incorrect. A CD4+ T-cell count of less than 200 cells/µL is below the normal range and is one of the criteria for an AIDS diagnosis.
Choice D reason: This choice is incorrect because the acute HIV infection phase is characterized by a high viral load and a decrease in CD4+ T-cell count, but not necessarily below 200 cells/µL or the presence of opportunistic infections.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today