Which food choice is most appropriate for a child who had a tonsillectomy and is now awake and tolerating fluids?

Cherry jello

Lemonade

Mandarin oranges

Applesauce

Answer and Explanation

The Correct Answer is D

a) Cherry jello: Red or colored foods may be mistaken for bleeding post-tonsillectomy, so they are typically avoided initially.

b) Lemonade: Citrus or acidic beverages may irritate the throat post-surgery.

c) Mandarin oranges: Similarly, acidic fruits can cause irritation to the healing throat.

d) Applesauce: It's a smooth and non-irritating option that's commonly recommended post-tonsillectomy as it's gentle on the throat and easy to swallow.

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Correct Answer is B

Explanation

A. Do not report any pause in respiration unless it's greater than 20 seconds.Any pause in respiration can be significant in neonates. A pause in breathing, even if less than 20 seconds, should be reported, as it could indicate a potential problem. This option downplays the importance of monitoring respiratory patterns.

B. Report any neonate with nasal flaring.Nasal flaring in a neonate is a sign of respiratory distress. This instruction is essential because nasal flaring indicates the infant is working harder to breathe and may require further evaluation and intervention.

C. Report any pause in respiration greater than 10 seconds.While this is important, nasal flaring is a more immediate and visible sign of respiratory distress that should be reported.

D. Report any respiratory rate of 40 or greater.A respiratory rate of 40 breaths per minute is within the normal range for neonates. Reporting a normal rate would not be necessary and could create unnecessary concern.

A. Red, currant, jelly-like stools B. Absent bowel sounds C. Hematemesis D. Bilious emesis

Correct Answer is A

Explanation

a) Red, currant, jelly-like stools: This is a classic indication of intussusception due to the presence of blood and mucus in the stool, a result of intestinal obstruction and ischemia.

b) Absent bowel sounds: Can occur but are not specific to intussusception.

c) Hematemesis: Vomiting blood is not a characteristic sign of intussusception.

d) Bilious emesis: While indicative of gastrointestinal issues, it's not the cardinal sign of intussusception.

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Which food choice is most appropriate for a child who had a tonsillectomy and is now awake and tolerating fluids?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse delegates the task of neonatal vital sign assessment to a nurse technician. Which instruction will the nurse give to the technician prior to assigning care?

Correct Answer is B

Explanation

What is the cardinal sign a nurse would expect to observe with intussusception?

Correct Answer is A

Explanation

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