Following a tonsillectomy, the nurse assesses the 5-year-old ...

[schs14]

Following a tonsillectomy, the nurse assesses the 5-year-old child for bleeding, which would be indicated by:
 
  a. Pain in the throat
  b. Pain on swallowing
  c. Spitting out blood-tinged sputum
  d. Frequent swallowing

Question 2

An infant born an hour ago exhibits coughing and drooling, cyanosis, abdominal distention, and moderate retractions and grunting. Based on these symptoms, what would be the most likely diagnosis?
 
  1. Tracheoesophageal fistula
   2. Laryngomalacia
   3. Respiratory distress syndrome
   4. Bronchopulmonary dysplasia

[ErinKing]

Answer to Question 1

D
Frequent swallowing is a major cue to possible post-tonsillectomy bleeding. The back of the throat should be examined with a flashlight to confirm. Pain in the throat, pain on swallowing, and spitting out blood-tinged sputum are expected post-surgical signs.

Answer to Question 2

1
Feedback
1. Tracheoesophageal fistula is the most likely diagnosis.
2. Laryngomalacia would cause more grunting.
3. The child may initially present similar respiratory distress, but the drooling indicates that more is involved.
4. Bronchopulmonary dysplasia occurs after long-term ventilator support, not soon after birth.

[schs14]

Thank you

[ErinKing]

No problemo