The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention?
Notify the health care immediately.
Continue to assess for bleeding.
Suction the back of the throat.
Encourage the child to cough.
The Correct Answer is A
A. Notifying the healthcare provider immediately is the best intervention because spitting up blood post-tonsillectomy could indicate bleeding, which requires prompt medical evaluation and intervention.
B. While continuing to assess for bleeding is important, immediate notification of the healthcare provider takes precedence to address potential complications.
C. Suctioning the throat might be contraindicated and could increase the risk of further bleeding.
D. Encouraging coughing is not appropriate as it could increase bleeding risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Contact precautions are used for infections that spread through direct or indirect contact with contaminated surfaces or items, which is not the case for measles.
B. Droplet precautions are used for infections spread through large respiratory droplets, such as influenza, but measles requires different precautions.
C. Protective environment precautions are used for immunocompromised patients to prevent infections but are not specific to measles.
D. Measles is spread through airborne droplets, so airborne precautions are required to prevent the spread of the virus through the air.
Correct Answer is D
Explanation
A. Budesonide is a corticosteroid used for long-term asthma control, not for acute exacerbations.
B. Cromolyn is a mast cell stabilizer used for long-term control, not for acute symptoms.
C. Montelukast is a leukotriene receptor antagonist used for long-term management, not for acute exacerbations.
D. Albuterol is a bronchodilator used as a rescue medication to relieve acute asthma symptoms by relaxing the airway muscles and easing breathing.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.