The nurse is providing discharge instructions to the parent of a patient who had a tonsillectomy/adenoidectomy. Which statement would indicate that the parent needs further teaching?

"We will return to the hospital if my child spits up blood.".

"I'll give my child cherry gelatin since that is her favorite.".

"We will return to the hospital if my child develops difficulty breathing.".

"I'll have my child rinse her mouth frequently with water to prevent a bad breath odor.".

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Returning to the hospital if the child spits up blood is a correct response as it indicates the recognition of potential postoperative bleeding.

Choice B rationale:

Giving the child cherry gelatin, even though it's the child's favorite, might not be appropriate after a tonsillectomy/adenoidectomy, as certain foods can irritate the healing throat.

Choice C rationale:

Returning to the hospital if the child develops difficulty breathing is a necessary step to address any respiratory distress.

Choice D rationale:

Having the child rinse her mouth frequently with water to prevent a bad breath odor is a suitable suggestion to maintain oral hygiene and comfort after surgery. In all three scenarios, the rationale for the correct answers revolves around patient safety, comfort, and appropriate post-operative care. The incorrect choices in each question either introduce potential complications, misunderstandings, or actions that might compromise the patient's well-being.

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Correct Answer is A

Explanation

Choice A rationale:

Allowing the child to have the soiled stuffed dog within sight but out of reach respects his attachment to the comfort object while maintaining hygiene standards of the hospital environment. The child's emotional well-being is crucial, and separation from a beloved item during a hospital stay can be distressing. Placing the dog in view but inaccessible helps strike a balance between comfort and infection control.

Choice B rationale:

While the mother's desire to keep the dog with the child is understandable, infection control is a concern in a hospital setting. Allowing the soiled object to remain in close proximity could compromise the child's health.

Choice C rationale:

Suggesting that the mother take the dog home to wash it and bring it back later might cause unnecessary distress for the child, who may worry about being separated from the comfort object for an extended period.

Choice D rationale:

Choosing a replacement from the playroom's stuffed animals could be unsettling for the child, as his attachment is to his specific dog. The familiarity of his own toy is likely to provide more comfort during the hospitalization. .

A. Explore with the mother why she wants to hold the baby at this time. B. Show the mother how to lightly rub the baby's back above the suture line. C. Help the mother hold the baby without placing pressure on the suture line. D. Reassure the mother that she will be able to hold her baby in four to five days.

Correct Answer is C

Explanation

Choice A rationale:

Exploring why the mother wants to hold the baby is important, but it does not directly address her immediate desire to hold her baby. Delaying the action could lead to emotional distress for the mother.

Choice B rationale:

Showing the mother how to lightly rub the baby's back above the suture line might be appropriate, but it doesn't fulfill the mother's wish to hold her baby. It also doesn't fully consider the sensitivity of the surgical site.

Choice C rationale:

Helping the mother hold the baby without placing pressure on the suture line is the most appropriate action. It addresses the mother's emotional needs while also considering the infant's post-operative condition.

Choice D rationale:

Reassuring the mother that she will be able to hold her baby in four to five days does not provide immediate comfort and support for her emotional distress. It's important to address her needs in the present moment.

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The nurse is providing discharge instructions to the parent of a patient who had a tonsillectomy/adenoidectomy. Which statement would indicate that the parent needs further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 4-year-old patient with cystic fibrosis is hospitalized with an acute pulmonary exacerbation. When the patient is admitted, he is clutching a soiled, tattered, stuffed dog. His mother says, "He insisted on bringing the dog with him. It really is filthy.". Which nursing action is most appropriate?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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