A nurse is reinforcing discharge instructions with a parent of a 6-year-old child who has just had a tonsillectomy. Which of the following statements by the parent indicates an understanding of postoperative care?
"It's okay for my child to have plenty of ice cream."
"I'll help my child gargle with salt water a few times a day."
"It's okay for my child to ride his bike in a few days."
"I'll call the doctor if my child is swallowing continuously."
The Correct Answer is D
A. ``It's okay for my child to have plenty of ice cream.": While ice cream is soft and soothing, it may increase mucus production. Dairy products are contraindicated post tonsillectomy.
B. "I'll help my child gargle with salt water a few times a day.": Gargling is contraindicated post-tonsillectomy because it can dislodge clots and increase the risk of bleeding.
C. "It's okay for my child to ride his bike in a few days.": Strenuous activity should be avoided to reduce the risk of bleeding.
D. "I'll call the doctor if my child is swallowing continuously.": Continuous swallowing can indicate bleeding, a serious complication that requires immediate medical attention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tachycardia: Hypercalcemia is more likely to cause bradycardia (slow heart rate) due to its depressive effects on the cardiac muscle.
B. Diarrhea: Hypercalcemia typically leads to constipation, not diarrhea.
C. Positive Chvostek's sign: This is associated with hypocalcemia, not hypercalcemia.
D. Muscle hypotonicity: Hypercalcemia can lead to muscle weakness and hypotonicity due to its effects on nerve and muscle function.
Correct Answer is A
Explanation
A. Lime ice pop: A lime ice pop is a good option because it is cold, soothing, and less likely to irritate the throat or cause bleeding. The cold temperature can help reduce swelling and provide comfort. Additionally, it is not acidic or dairy-based, which makes it a safe choice.
B. Cranberry juice: Cranberry juice is acidic, which can irritate the throat and increase discomfort after a tonsillectomy. Acidic foods and drinks should be avoided during the recovery period to prevent irritation and pain.
C. Ice cream: While ice cream is cold and soothing, it contains dairy, which can increase mucus production. This may lead to discomfort and make swallowing more difficult post-surgery. It’s best to avoid dairy products immediately following a tonsillectomy.
D. Hot tea : Hot beverages should be avoided because they can cause vasodilation and increase the risk of postoperative bleeding. Cold or room temperature liquids are preferred to minimize discomfort and prevent complications.
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