Which of the following signs or symptoms is the earliest ...

[littleanan]

Which of the following signs or symptoms is the earliest manifestation of bleeding in a child who has had a tonsillectomy?
 
  a. frequent swallowing c. coffee-ground emesis
  b. spitting up blood d. complaint of thirst

Question 2

The nurse is assessing the respirations of an infant on the pediatric unit. The nurse knows that which of the following is true:
 
  a. Respirations are counted by observing the movement of the abdominal wall
  b. The rate is counted for thirty 30 seconds and then multiplied by 2
  c. After 1 year of age, respirations should be measured in the same way as for an adult
  d. Respirations are counted by observing the movement of the chest wall

[leeeep]

Answer to Question 1

A

Feedback
A Correct. Frequent swallowing following tonsillectomy is the earliest manifestations of bleeding, as the child swallows more often because of trickling blood.
B Incorrect. Spitting up blood is not the earliest manifestation of bleeding in a child who has had a tonsillectomy.
C Incorrect. Coffee-ground emesis is not the earliest manifestation of bleeding in a child who has had a tonsillectomy.
D Incorrect. Complaint of thirst is not the earliest manifestation of bleeding in a child who has had a tonsillectomy.

Answer to Question 2

A
Infants are abdominal breathers, so the nurse should watch the movement of the abdominal wall. The rate should be counted for a full minute, because respirations tend to be irregular in infancy. Respirations are measured the same way as an adult after the child reaches 7 years of age.