A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake. Which of the following dietary choices should the nurse offer the child?

Chocolate milk

Sugar-free cherry gelatin

Lime-flavored ice pop

Vanilla ice cream

Answer and Explanation

The Correct Answer is C

Choice A Reason:

Chocolate milk is incorrect. Similar to ice cream, chocolate milk is dairy-based and may have a thicker consistency, potentially causing discomfort or irritation to the throat.

Choice B Reason:

Sugar-free cherry gelatin-Avoid red, purple, or brown liquids, which simulate the appearance of blood if the child vomits.

Choice C Reason:

Although the flavor might be a bit acidic, lime-flavored ice pops are generally clear or light in color and less likely to obscure bleeding. They are also soothing and can help with hydration

Choice D Reason:

Vanilla ice cream is incorrect. While ice cream might seem soothing, it's dairy-based and can coat the throat, potentially causing discomfort or mucus production, which may not be ideal for the healing process.

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Correct Answer is A

Explanation

A. Use a 24-gauge catheter to start the IV.A 24-gauge catheter is appropriate for infants due to their smaller veins and the need to minimize trauma. This size allows for adequate fluid and medication administration while reducing the risk of vein damage.

B. Change the IV site every 3 days.IV sites in infants may need to be changed more frequently based on the condition of the site, the type of fluid or medication being administered, and the infant's activity level. The site should be monitored closely for signs of infiltration, phlebitis, or infection, and changed as clinically indicated.

C. Start the IV in the infant's foot.While the foot may be an acceptable site in certain situations, the hands, forearms, or scalp (in younger infants) are often preferred for IV insertion. The foot is less ideal due to the potential for the child to kick or move, increasing the risk of dislodging the IV.

D. Cover the insertion site with an opaque dressing.The insertion site should be covered with a transparent dressing to allow for continuous visualization of the site. This helps in early detection of complications such as infiltration or infection.

A. Pulse rate 98/min B. Temperature 37.2° C (99° F) C. Blood pressure 118/74 mm Hg D. Respiratory rate 26/min

Correct Answer is C

No explanation

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A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake. Which of the following dietary choices should the nurse offer the child?

Nursing Test Bank

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