Author Question: The nurse is caring for a 5-year-old child who is scheduled for a tonsillectomy in 2 hours. Which ... (Read 66 times)

chandani · **on:** Jun 28, 2018

The nurse is caring for a 5-year-old child who is scheduled for a tonsillectomy in 2 hours. Which action should the nurse include in the child's postoperative care plan? (Select all that apply.)

a. Notify the surgeon if the child swallows frequently.
b. Apply a heat collar to the child for pain relief.
c. Place the child on the abdomen until fully wake.
d. Allow the child to have diluted juice after the procedure.
e. Encourage the child to cough frequently.

Question 2

An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes which interventions? (Select all that apply.)

a. Cluster care to conserve energy
b. Round-the-clock administration of antitussive agents
c. Strict intake and output to avoid congestive heart failure
d. Administration of antibiotics

yeungji · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, C, D
Frequent swallowing is a sign of bleeding in children after a tonsillectomy. The child should be placed on the abdomen or the side to facilitate drainage. The child can drink diluted juice, cool water, or popsicles after the procedure. An ice collar should be used after surgery. Frequent coughing and nose blowing should be avoided.

Answer to Question 2

ANS: A, D
Antibiotics are indicated for a bacterial pneumonia. Often the child will have decreased pulmonary reserve, and the clustering of care is essential. Antitussive agents are used sparingly. It is desirable for the child to cough up some of the secretions. Fluids are essential to kept secretions as liquefied as possible.