The nurse is collecting data on a child with a diagnosis of tonsillitis. Which clinical manifestation would likely have been noted in the child with this diagnosis?
Inability to make audible voice sounds
Erythema of the pharynx
Bark-like cough
Hoarseness
The Correct Answer is B
A. Inability to make audible voice sounds:
This symptom is more indicative of conditions affecting the vocal cords or larynx, such as laryngitis. Tonsillitis primarily involves inflammation of the tonsils and may not directly impact the ability to make audible voice sounds.
B. Erythema of the pharynx:
Erythema (redness) of the pharynx is a common manifestation of tonsillitis. Inflammation of the tonsils and surrounding areas can lead to redness and swelling in the throat.
C. Bark-like cough:
A bark-like cough is often associated with croup, which involves inflammation of the larynx and trachea, not the tonsils. It is a distinct condition from tonsillitis.
D. Hoarseness:
Hoarseness can be a symptom of various conditions affecting the vocal cords or larynx, but it is not a typical manifestation of tonsillitis. Tonsillitis is more commonly associated with sore throat, difficulty swallowing, and erythema of the pharynx.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
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.
Correct Answer is D
Explanation
A. Approximately 18 lbs. 6 oz.:
This option represents an overestimation of the expected weight. Doubling the birth weight of 8 lbs. 2 oz. would be 16 lbs. 4 oz., so this choice is higher than the expected weight.
B. Approximately 14 lbs. 8 oz.:
This option represents an underestimation of the expected weight. Doubling the birth weight of 8 lbs. 2 oz. would be 16 lbs. 4 oz., so this choice is lower than the expected weight.
C. Approximately 24 lbs. 4 oz.:
This option represents a significant overestimation of the expected weight. Doubling the birth weight of 8 lbs. 2 oz. would be 16 lbs. 4 oz., so this choice is much higher than the expected weight.
D. Approximately 16 lbs. 4 oz.:
This option is the correct estimate based on doubling the birth weight of 8 lbs. 2 oz. It accurately reflects the expected weight of a 6-month-old child according to developmental milestones.
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