A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate action for the nurse to take?

Place the child in Trendelenburg position when performing care.

Use clean technique to change the tracheostomy tube.

Have the child flex his head when securing the ties.

Clean around the stoma with full-strength hydrogen peroxide.

Answer and Explanation

The Correct Answer is C

A. Placing the child in the Trendelenburg position is not necessary for tracheostomy care. In fact, this position is generally not recommended for routine tracheostomy care.

B. Sterile technique, not clean technique, should be used when changing the tracheostomy tube to reduce the risk of infection.

C. This is the correct action. Having the child flex his head can help prevent tension on the tracheostomy ties and ensure a secure and comfortable fit.

D. Full-strength hydrogen peroxide is too harsh and can cause irritation to the skin around the stoma. It is recommended to use normal saline or a mild soap and water solution for cleaning.

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Correct Answer is D

Explanation

A. The cream should be removed after it has been on the skin for the recommended amount of time. It is typically wiped off before the procedure.

B. The medication should applied repeatedly to provide analgesia

C. Washing the site with alcohol before applying the cream is not necessary and may cause unnecessary skin irritation.

D. Lidocaine and prilocaine cream typically require about 60 minutes to take effect.

A. Maintain the child in a supine position. B. Provide cranberry juice to the child. C. Discourage the child from coughing. D. Administer an analgesic to the child on a scheduled basis. E. Observe the child for frequent swallowing.

Correct Answer is ["D","E"]

Explanation

A. Maintaining the child in a supine position is not recommended after a tonsillectomy.
The child should be positioned on their side to prevent aspiration.

B. Cranberry juice is acidic and may be irritating to the surgical site. Clear, non-acidic fluids are usually recommended after a tonsillectomy.

C. While coughing should be minimized to prevent irritation to the surgical site, the child should not be discouraged from coughing if needed to clear secretions.

D. Administering an analgesic on a scheduled basis is important for managing pain after a tonsillectomy. This helps to maintain a consistent level of pain control.

E. Observing the child for frequent swallowing is important, as it may indicate bleeding or discomfort. This is a key assessment after a tonsillectomy.

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A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the insertion of an IV catheter. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is caring for a school-age child who is 1 hr postoperative following a tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["D","E"]

Explanation

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