Which parental statement indicates correct understanding of ...

[james0929]

Which parental statement indicates correct understanding of discharge instructions for a pediatric client after a tonsillectomy?
 
  1. We will call the healthcare provider for any indication of ear pain.
  2. We will be sure to give our child adequate amounts of citrus juices.
  3. We will plan on administering acetaminophen (Tylenol) for pain.
  4. We will keep our child on bed rest for 10 days after the surgery.

Question 2

Which is an appropriate nursing intervention for a child who experiences epistaxis?
 
  1. Laying the child down and applying a warm pack.
  2. Tilting the child's head back, squeezing the bridge of the nose, and applying a warm moist pack to the nose.
  3. Tilting the child's head forward, squeezing the nares below the nasal bone, and applying ice to the nose.
  4. Immediately packing the nares with a cotton ball soaked with phenylephrine (Neo-Synephrine).

[alexisweber49]

Answer to Question 1

3
Explanation:
1. Ear pain 4 to 8 days after a tonsillectomy might be experienced and does not indicate an ear infection.
2. Citrus juices should be avoided for the first week because highly acidic foods and beverages can cause irritation.
3. Acetaminophen (Tylenol) is recommended for pain after a tonsillectomy.
4. Children do not need to be confined to bed. They can return to school in 10 days.

Answer to Question 2

3
Explanation:
1. Laying the child down would allow the blood to drain down the throat, which could lead to aspiration. Warmth would promote the bleeding.
2. Tilting the child's head back could cause the blood to trickle down the throat. Warmth can cause an increase in bleeding because of vasodilation.
3. The correct initial treatment for a nosebleed is to tilt the head forward, squeeze the nares below the nasal bone for 10 to 15 minutes, and apply ice to the nose or back of the head.
4. A cotton ball soaked with Neo-Synephrine would only be used if the bleeding did not stop with pressure and ice.