A nurse is closely monitoring a pediatric client following a tonsillectomy. Which finding would alert the nurse to a postoperative complication?

Dry mouth

Reports of mild to moderate pain

Dried flecks of blood in oral secretions

Frequent swallowing

Answer and Explanation

The Correct Answer is D

A. Dry mouth is expected postoperatively, especially if the child is not drinking adequate fluids, but it is not a sign of a complication.

B. Mild to moderate pain is expected after a tonsillectomy and should be managed with analgesics.

C. Dried flecks of blood in oral secretions can be normal immediately after surgery, but active bleeding would be concerning.

D. Frequent swallowing is a sign of possible postoperative bleeding, which is a serious complication that requires immediate evaluation and intervention.

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Correct Answer is D

Explanation

A. Tea-colored urine is more typical of glomerulonephritis rather than nephrotic syndrome.

B. A recent streptococcus infection is commonly associated with post-streptococcal glomerulonephritis, not nephrotic syndrome.

C. Polyuria is not a common feature of nephrotic syndrome; rather, oliguria (decreased urine output) may occur.

D. Periorbital edema is a hallmark sign of nephrotic syndrome, resulting from significant protein loss in the urine, leading to hypoalbuminemia and fluid retention.

A. Limited range of motion in the affected hip B. Symmetry of the gluteal skinfolds when the infant is placed prone and the legs are extended C. Negative Barlow test D. Unaffected leg is pale and cool

Correct Answer is A

Explanation

A. Developmental dysplasia of the hip (DDH) often presents with a limited range of motion in the affected hip, particularly in abduction.

B. Asymmetry of the gluteal skinfolds, not symmetry, is a typical finding in DDH. This asymmetry is due to the improper alignment of the hip joint.

C. A positive Barlow test, where the hip can be dislocated by adduction and posterior pressure, is indicative of DDH. A negative Barlow test would suggest the absence of DDH.

D. A pale and cool leg is not a common finding in DDH. This would be more indicative of a circulatory problem, not hip dysplasia.

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A nurse is closely monitoring a pediatric client following a tonsillectomy. Which finding would alert the nurse to a postoperative complication?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a pediatric client admitted with nephrotic syndrome. What assessment finding would likely be noted in a client with this diagnosis?

Correct Answer is D

Explanation

A 1-month-old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip (DDH). On assessment, the nurse understands that which finding would be noted in this condition?

Correct Answer is A

Explanation

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