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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?

A.

"It's okay for my child to have plenty of ice cream."

B.

"I'll help my child gargle with salt water a few times a day."

C.

"It's okay for my child to ride his bike in a few days."

D.

"I'll call the doctor if my child is swallowing continuously."

Answer and Explanation

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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Related Questions

Correct Answer is C

Explanation

A. Supine: Lying on the back can limit lung expansion and is not the best position for a child with respiratory issues. It can contribute to atelectasis and does not facilitate effective breathing.

B. Prone: The prone position can improve oxygenation and ventilation, particularly in severe respiratory distress, but it may not be the most comfortable or practical for all patients, especially in a non-ICU setting.

C. Upright: Sitting upright or in a high Fowler's position is optimal for lung expansion. It facilitates easier breathing and helps the lungs expand more fully, allowing for better oxygenation.

D. Side-lying: Side-lying may be comfortable but does not provide as much benefit for lung expansion as the upright position. It is less effective in promoting maximal lung expansion compared to the upright position.

Correct Answer is ["6.4"]

Explanation

Convert the child's weight from pounds to kilograms:

Weight in pounds: 30 lb

Conversion: 1 lb ≈ 0.454 kg

Weight in kg: 30 lb× 0.454 kg/lb =13.62 kg

30lb×0.454kg/lb=13.62kg

Calculate the dose in mg:

Dose: 15 mg/kg

15 mg/kg ×13.62kg=204.3 mg

Determine the volume to administer:

Available concentration: 160 mg/5 mL

Volume in mL:

204.3 mg ÷160 mg/5mL

= 204.3mg×5ml ÷160mg

=6.4mL

The nurse should administer 6.4 mL of acetaminophen.

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