Nursing care of the child who is postoperative from a tonsillectomy should include: (Select All That Apply)?
Apply warm, moist compresses to the neck area
Observe for excessive swallowing
Provide liquid acetaminophen with codeine as ordered.
Place child in a partially prone position with head turned to one side in the immediate post-operative period.
Offer orange juice, lemonade, or milk to drink once awake and alert.
Correct Answer : B,C,D
A. Apply warm, moist compresses to the neck area:
Warm, moist compresses are not typically used in the postoperative care of a tonsillectomy. Cold compresses or ice packs may be recommended to reduce swelling.
B. Observe for excessive swallowing:
Excessive swallowing may indicate bleeding, and close monitoring for any signs of bleeding is important.
C. Provide liquid acetaminophen with codeine as ordered:
Pain management is crucial postoperatively, and providing pain medication as ordered helps ensure the child's comfort.
D. Place the child in a partially prone position with the head turned to one side in the immediate post-operative period:
This position helps facilitate drainage and reduce the risk of aspiration. However, the specific positioning may vary based on the surgeon's preference.
E. Offer orange juice, lemonade, or milk to drink once awake and alert:
Citrus juices and milk are usually avoided in the immediate postoperative period to prevent irritation to the surgical site. Clear fluids or those recommended by the healthcare provider are typically introduced gradually.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Painting pictures in the art corner of the room:
Painting pictures in the art corner can be a fun and creative activity for preschoolers. It allows them to express themselves through art and develop fine motor skills. However, it might not be a group activity unless they are sharing materials and ideas.
B. Watching a movie with other children their age:
Watching a movie can be an enjoyable activity for preschoolers, especially if the content is age-appropriate. However, it is a passive activity, and group interactions might be limited during the movie.
C. Playing a board game:
Playing a board game can be a good group activity that involves turn-taking, following rules, and social interaction. However, some board games may be more suitable for older children who have developed certain cognitive and social skills.
D. Pretending to be mommies and daddies in the playhouse:
Pretend play, such as pretending to be mommies and daddies in a playhouse, is a developmentally appropriate and common activity for preschoolers. It encourages imaginative play, role-playing, and social interaction, helping with emotional and social development.
Correct Answer is B
Explanation
A. Exposure to contaminated body fluid:
HIV can be transmitted through exposure to contaminated body fluids such as blood, semen, vaginal fluids, and breast milk. However, in the context of infants, mother-to-child transmission is the primary mode of concern.
B. Mother-to-child transmission:
Mother-to-child transmission, also known as perinatal or vertical transmission, is the major means of HIV transmission in infants. It can occur during pregnancy, childbirth, or breastfeeding when the virus is passed from an HIV-positive mother to her child.
C. Blood transfusions:
While HIV transmission through blood transfusions was a concern in the past, current blood screening and testing procedures have significantly reduced this risk. It is not a major means of transmission in the infant population.
D. Sharing of infected needles:
The sharing of infected needles is a risk factor for HIV transmission among individuals who use injection drugs. However, this mode of transmission is not relevant to infants, as they are not typically exposed to such risk factors.
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