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: Oral rehydration therapy is the first-line treatment for dehydration due to diarrhea, as it effectively restores fluid and electrolyte balance.
Choice B reason: While chicken broth may provide some salt, it lacks the necessary electrolytes and glucose needed for effective rehydration.
Choice C reason: A hypertonic IV solution is not typically used for dehydration due to diarrhea, as it can exacerbate fluid shifts and dehydration.
Choice D reason: Keeping a child NPO is not recommended as it can lead to further dehydration and delay recovery.
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Waiting 30 seconds between puffs allows the medication to settle and ensures the second puff is as effective as the first.
Choice B reason: Shaking the device before use helps to mix the medication properly, ensuring a consistent dose with each inhalation.
Choice C reason: Exhaling quickly after inhalation is not recommended; instead, the patient should hold their breath for a few seconds to allow the medication to reach deep into the lungs.
Choice D reason: Rinsing the mouth and expectorating after administration prevents oral thrush, a common side effect of inhaled corticosteroids.
Choice E reason: Inhaling slowly ensures that the medication is delivered deeply into the lungs for maximum efficacy.
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