A patient has had a tonsillectomy yesterday and is now tolerating clear fluids and per order diet can be increased. The patient asks for something different to "eat." Which is most appropriate for the nurse to offer?

Orange Juice.

Red gelatin.

Vanilla milkshake.

Banana.

Answer and Explanation

The Correct Answer is B

A.   Orange juice is acidic, which can irritate a healing throat after a tonsillectomy. This acidity may cause discomfort and is generally not recommended in the early postoperative period.
B.   Red gelatin is often considered a suitable option after a tonsillectomy because it is soft, easy to swallow, and typically well-tolerated. However, the color (red) may sometimes be avoided in some healthcare settings due to concerns that it can resemble blood in the event of bleeding.
C.   A vanilla milkshake is creamy and can be soothing. However, if the milkshake is thick or cold, it may cause some discomfort for the patient. Additionally, the richness of a milkshake could be heavier than what is typically recommended immediately after surgery.
D.   While bananas are soft and easy to swallow, they may not be the best choice right after a tonsillectomy. They can be somewhat sticky and may require more chewing, which could be uncomfortable for the patient at this stage.

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Correct Answer is C

Explanation

A. Mouth breathing is common after a tonsillectomy due to postoperative swelling and discomfort. It is not specifically a sign of hemorrhage. Instead, it is a typical adjustment as the child copes with throat pain and may find it easier to breathe through the mouth.
B. While reports of pain are expected after a tonsillectomy due to the nature of the surgery, they are not indicative of hemorrhage. Pain management is an important part of postoperative care, but increased pain alone does not signal bleeding.
C. Frequent swallowing can be a significant manifestation of hemorrhage following a tonsillectomy. This behavior may indicate that the child is trying to clear blood or secretions from the throat, or it may suggest that the child is swallowing blood that is pooling in the throat. It is an important sign for the nurse to monitor, as it can indicate active bleeding.
D. Reports of thirst are common after surgery due to fasting before the procedure and the dry mouth that can result from mouth breathing or the surgical site itself. While excessive thirst should be addressed, it is not a direct indicator of hemorrhage.

A. Have your blood pressure checked again in 2 months. B. Have your blood pressure checked within the next 48-72 hours. C. Visit your health care provider within 1 week for a blood pressure check. D. See your health care provider immediately.

Correct Answer is D

Explanation

A. This response may downplay the significance of the current elevated blood pressure reading. Given that the reading indicates stage 2 hypertension, waiting two months without further assessment could be inappropriate, as the patient may be at risk for complications.
B. This option suggests a follow-up in a reasonable timeframe. It acknowledges the need for a prompt reassessment but still allows for some delay. However, it may not convey the urgency that may be warranted given the current high reading.
C. While this option provides a specific timeframe for follow-up, it may also imply that the situation is less urgent than it is. A week could be too long to wait for someone with a reading indicative of hypertension, especially considering potential risks.
D. This is the best response because it prioritizes the patient's health by recommending immediate evaluation. The current blood pressure reading of 160/96 mmHg is significantly elevated and may warrant urgent assessment to rule out any underlying conditions, initiate management, and prevent complications such as cardiovascular events.

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A patient has had a tonsillectomy yesterday and is now tolerating clear fluids and per order diet can be increased. The patient asks for something different to "eat." Which is most appropriate for the nurse to offer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

Correct Answer is C

Explanation

At a community health fair, the blood pressure of a 62-year-old patient is 160/96 mmHg. The patient states "My blood pressure is usually much lower." What is the best response by the nurse?

Correct Answer is D

Explanation

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