The nurse is assisting in developing a plan of care for a child ...

[Coya19@aol.com]

The nurse is assisting in developing a plan of care for a child who will be returning from the operating room following a tonsillectomy. The nurse plans to place the child in which of the fol-lowing positions on return from the operating room?
 
  1. Supine
  2. Side-lying
  3. High-Fowler's and on the left side
  4. Trendelenburg's and on the right side

Question 2

The nurse is conducting a group therapy session when a female client, who has shared with the group at a previous session that she isolates herself when she feels depressed, suddenly gets up to leave.
 
  The appropriate nursing action is which of the following? 1. Tell the client that it is not safe to leave.
  2. Encourage the client to stay, and ask the client what she is feeling.
  3. Tell the client that if she leaves she cannot return to this therapy group.
  4. Lock the door so that the client cannot leave at this potentially vulnerable time.

[wshriver]

Answer to Question 1

2

Rationale: The child should be placed in a prone or side-lying position following tonsillectomy to facilitate drainage. Supine, High-Fowler's and on the left side, and Trendelenburg's and on the right side will not facilitate drainage.

Answer to Question 2

2

Rationale: If a client attempts to leave a group session, ask the client what the client is feeling and try to connect the behavior with a feeling. The client should be encouraged to stay. The door should not be locked. If the client still leaves, follow up with the client after the group session and find out more about the client's thoughts and feelings. Lock the door so that the client can-not leave at this potentially vulnerable time is inappropriate and is a violation of the client's rights.

[Coya19@aol.com]

Thank you!

[wshriver]

Always glad to help...