Author Question: A child who is in the first postoperative day after a tonsillectomy starts to cough and wants to ... (Read 36 times)

fox

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A child who is in the first postoperative day after a tonsillectomy starts to cough and wants to blow his nose. Which of the following actions by the nurse would be best?
 
  a. Offer the child some tissue, and give instructions on its disposal.
  b. Remind the child not to cough or blow his nose.
  c. Tell him he can cough but not to blow his nose.
  d. Inform the child that he can blow his nose but not cough.

Question 2

The nurse instructing the mother on how to care for the umbilical cord of the newborn would direct the mother to:
 
  a. wash the cord only with warm water and gently dry it
  b. apply 70 isopropyl alcohol or hydrogen peroxide to the base next to the skin and to the cord with each diaper change
  c. use a solution of baby shampoo and water on the cord, rinse, and dry carefully
  d. wash the cord with a solution of Ivory soap and water, dry, air for 30 minutes, and apply triple antibiotic ointment after baths and diaper changes



bigcheese9

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Answer to Question 1

B

Feedback
A Incorrect. Postoperatively, once fully awakened, the nurse does not offer the child some tissue, and give instructions on its disposal.
B Correct. Postoperatively, once fully awakened, the nurse reminds the child not to cough often or not to blow their nose, as this can disrupt an operative clot and cause bleeding.
C Incorrect. Postoperatively, once fully awakened, the nurse does not inform the child that he can cough but not blow his nose, instead recommends he do neither.
D Incorrect. Postoperatively, once fully awakened, the nurse does not inform the child that he can blow his nose but not cough, instead recommends he do neither.

Answer to Question 2

B

Feedback
A Incorrect. The nurse instructing the mother on how to care for the umbilical cord of the newborn would not direct the mother to wash the cord only with warm water and gently dry it; will not protect against infection.
B Correct. The nurse instructing the mother on how to care for the umbilical cord of the newborn would direct the mother to apply 70 isopropyl alcohol or hydrogen peroxide to the base next to the skin and to the cord with each diaper change.
C Incorrect. The nurse instructing the mother on how to care for the umbilical cord of the newborn would not direct the mother to use a solution of baby shampoo and water on the cord, rinse, and dry carefully.
D Incorrect. The nurse instructing the mother on how to care for the umbilical cord of the newborn would not direct the mother to wash the cord with a solution of Ivory soap and water, dry, air for 30 minutes, and apply triple antibiotic ointment after baths and diaper changes.



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