When caring for a patient that has undergone a tonsillectomy, the nurse's priority assessment in identifying a potential complication would include?

Assess breathing pattern for snoring.

Assess mucous membranes for moisture.

Assess pain level.

Observe for continuous swallowing.

Answer and Explanation

The Correct Answer is D

A.   While changes in breathing patterns can indicate airway obstruction, snoring alone is not the most specific indicator of a complication after tonsillectomy. It could indicate swelling or an obstructed airway but does not specifically indicate bleeding.

B.   Checking the mucous membranes for moisture is important in general nursing care to assess hydration status. However, it is not the most immediate priority in the post-tonsillectomy setting, where the primary concern is to monitor for bleeding.
C.   Assessing pain is important for overall patient comfort and to evaluate the effectiveness of pain management strategies. However, pain alone does not directly indicate a complication like bleeding, which is a critical concern in this scenario.
D.   Continuous swallowing can be an early sign of bleeding after tonsillectomy, as patients may swallow frequently to clear blood from the throat. If a patient is swallowing more often than normal, it could indicate that they are swallowing blood, which would require immediate intervention.

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Correct Answer is D

Explanation

A. While osteoporosis is characterized by a negative calcium balance, this is not a major complication itself. It's a contributing factor to the condition.
B. Loss of estrogen is a risk factor for osteoporosis, especially in postmenopausal women. However, it's not a complication of the disease itself.
C. Dowager's hump, or kyphosis, is a common symptom of osteoporosis, but it's not a major complication. It's a visible manifestation of the disease.
D. Bone fractures are the major complication of osteoporosis. The weakened bones become more susceptible to fractures, especially in areas like the hip, spine, and wrist.

Correct Answer is ["5.3"]

Explanation

1 kilogram equals 2.2 pounds.

The preschooler weighs 29 pounds, which is approximately 13.18 kilograms (29/2.2). The order is for 40 mg/kg/day

13.18 kg * 40 mg/kg = 527.2 mg/day.

Since the medication is to be administered every 12 hours, divide this daily dosage by 2 to get the per dose amount: 527.2 mg/day / 2 = 263.6 mg/dose.

Now, using the concentration of the elixir, which is 250 mg/5 mL, set up a proportion to find out how many milliliters are needed for the prescribed dose: 250 mg : 5 mL = 263.6 mg : X mL.

Solving for X gives us (263.6 mg * 5 mL) / 250 mg = 5.272 mL per dose.

Rounding to the nearest tenth, the nurse should administer 5.3 mL per dose.

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When caring for a patient that has undergone a tonsillectomy, the nurse's priority assessment in identifying a potential complication would include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for an elderly female with osteoporosis. When teaching the client, the nurse should include information about which major complication?

Correct Answer is D

Explanation

Correct Answer is ["5.3"]

Explanation

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