Author Question: The nurse is reviewing the physician's prescriptions on a child following a tonsillectomy. Which of ... (Read 60 times)

ghost! · **on:** Jul 22, 2018

The nurse is reviewing the physician's prescriptions on a child following a tonsillectomy. Which of the following physician prescriptions would the nurse question?

1. Suction the child if coughing.
2. Discharge to home when alert and tolerating fluids.
3. Provide clear cool liquids to the child when awake.
4. Instruct the parent to avoid giving the child milk or milk products.

Question 2

The nurse is developing a plan of care for a client admitted to the psychiatric unit at high risk for suicide. The focus of the plan is to promote a safe and therapeutic environment.

Which of the following interventions would the nurse include in the plan of care? 1. Place the client in a private room.
2. Establish a therapeutic relationship.
3. Assign a leadership task to the client.
4. Maintain a distance of 10 inches at all times.

joshraies · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: Following tonsillectomy, suction equipment should be available, but the child is not suctioned unless there is an airway obstruction. Clear cool liquids are encouraged. Milk and milk products are avoided initially because they coat the throat, causing the child to clear his or her throat and thereby increasing the risk of bleeding. Discharge to home when alert and tolerating fluids is an appropriate intervention following tonsillectomy.

Answer to Question 2

2

Rationale: A therapeutic relationship will increase feelings of acceptance in the suicidal client. Placing the client in a private room would intensify the client's feeling of worthlessness. Placing the client in a leadership role can overwhelm the client, lead to failure, and reinforce the feelings of worthlessness. Distances of 18 inches or less constitute intimate space, and invasion of this space may increase the client's tension and feelings of helplessness.