A nurse is monitoring a child who is postoperative following a tonsillectomy for signs of hemorrhage. Which of the following findings is a sign of this postoperative complication?

Frequent swallowing

Reports of thirst

Reports of pain

Mouth breathing

Answer and Explanation

The Correct Answer is A

A. Frequent swallowing is a common finding after a tonsillectomy due to postoperative throat discomfort and the sensation of having a foreign object in the throat (such as blood clots or mucus).

B. Reports of thirst may indicate dehydration, which can occur after surgery, especially if the child is not drinking enough fluids due to pain or discomfort. While dehydration can be a concern after a tonsillectomy, it is not a specific sign of hemorrhage.

C. Pain is common after a tonsillectomy and can be expected in the postoperative period. While increased pain may be present if hemorrhage occurs, it is not a specific sign of hemorrhage on its own.

D. Mouth breathing does not directly indicate bleeding and is more related to discomfort or difficulty breathing through the nose, especially if the child is experiencing throat pain. It is not a typical sign of hemorrhage.

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Correct Answer is B

Explanation

B. The narrowing of the aorta results in increased resistance to blood flow beyond the constriction, leading to decreased blood pressure in the lower body, including the legs. As a result, the blood pressure in the arms may be significantly higher than in the legs, creating a notable blood pressure gradient between the upper and lower extremities.

A. Pulmonary edema is not a typical manifestation of coarctation of the aorta. Coarctation of the aorta involves a narrowing of the aortic arch, typically occurring after the branching of the vessels supplying the upper body.

C. Severe cyanosis is not typically associated with coarctation of the aorta. Cyanosis, a bluish discoloration of the skin and mucous membranes due to inadequate oxygenation of the blood, is more commonly seen in conditions affecting pulmonary circulation or oxygenation of the blood, such as congenital heart defects involving right-to-left shunting of blood.

D. A machine-like murmur is not a typical finding in coarctation of the aorta. The characteristic murmur associated with coarctation of the aorta is a systolic ejection murmur heard best over the back or left axilla.

A. Infants are in a supine or prone position most of the time. B. Sucking on a nipple creates middle ear pressure. C. The Eustachian tube is short, straight, and wide. D. Sucking on a nipple creates middle ear pressure.

Correct Answer is C

Explanation

C. The Eustachian tube in infants is shorter, straighter, and wider compared to adults. This anatomy makes it easier for bacteria or viruses from the nasopharynx to travel up the Eustachian tube and infect the middle ear, contributing to the increased susceptibility to otitis media.

A. Infants spend a significant amount of time lying down, whether in a supine (on their backs) or prone (on their stomachs) position. However, this does not increase the risk of otitis media

B. Sucking on a nipple does create pressure changes in the middle ear but it's not the primary reason infants are more susceptible to otitis media.

D. Sucking on a nipple does create pressure changes in the middle ear but it's not the primary reason infants are more susceptible to otitis media

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A nurse is monitoring a child who is postoperative following a tonsillectomy for signs of hemorrhage. Which of the following findings is a sign of this postoperative complication?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an infant who has coarctation of the aorta. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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