Which of the following instructions is the most important ...

[karateprodigy]

Which of the following instructions is the most important discharge teaching for the caregivers of a child who is postoperative from a tonsillectomy?
 
  a. The pain medication must be given in amounts sufficient to permit the child to swallow and take nourishment without any difficulty.
  b. Between 4 and 10 days postoperatively, a membrane that formed over the surgical site may hemorrhage and require immediate medical attention.
  c. Limit the child's activity, and include several rest periods during the day.
  d. The child must be encouraged to drink at least 8 glasses of fluid a day and eat sufficient calories to maintain or gain weight.

Question 2

An infant is admitted to your unit. You are required to weigh each infant on admission. You understand that this is required because:
 
  a. You cannot trust the information given by the parents
  b. The weight was not recorded in the emergency department
  c. The weight is necessary in determining dosage of medications
  d. The weight may not have been measured by a nurse at the doctor's office

[connor417]

Answer to Question 1

B

Feedback
A Incorrect. The most important discharge teaching for the caregivers of a child who is postoperative from a tonsillectomy is not focused upon pain medication.
B Correct. Caregivers and children need to be aware of a critical period and be ready to seek medical treatment as indicated. The membrane that forms over the operative site immediately after surgery begins to pull apart around 4-10 days. During this time frame, the surgical site may hemorrhage.
C Incorrect. The most important discharge teaching for the caregivers of a child who is postoperative from a tonsillectomy is not focused upon limits on the child's activity or rest periods.
D Incorrect. The most important discharge teaching for the caregivers of a child who is postoperative from a tonsillectomy is not focused upon caloric or fluid intake.

Answer to Question 2

C
The weight is necessary for determining the dosage of medications. An infant's weight changes quickly, and the dosage must be accurate. It is crucial for the nurse to take new measurements to ensure accuracy.