Nokea
A school-age child is 2 hours postoperative following a tonsillectomy. Which of the following actions should the nurse include in the plan of care?
- A. Place a heating pad at the surgical site.
- B. Encourage the child to cough every 2 hours.
- C. Administer analgesics to the child on a regular schedule.
- D. Apply an ice collar to the child's neck.
Correct Answer: D
Rationale: After a tonsillectomy, applying an ice collar to the child's neck helps decrease pain and swelling. Heat should be avoided as it can increase bleeding. Encouraging coughing may increase the risk of bleeding. Administering analgesics on a regular schedule is essential for pain management, but the immediate postoperative period may require additional interventions like ice collar application.
You may also like to solve these questions
A 1-week-old infant develops pulmonary hypertension following repair of a congenital diaphragmatic hernia. Which of the following lab findings is MOST likely to be a contributing factor to this patient's hypertension?
- A. PaCO2 50
- B. pH 7.50
- C. PaO2 150 mmHg
- D. N/A
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is preparing to collect a sample from a toddler for a sickle turbidity test. Which of the following actions should the healthcare professional plan to take?
- A. Obtain a sputum specimen
- B. Perform an Allen test
- C. Perform a finger stick
- D. Obtain a stool specimen
Correct Answer: C
Rationale: The healthcare professional should perform a finger stick on a toddler as a component of the sickle turbidity test. If the test is positive, hemoglobin electrophoresis is required to distinguish between children who have the genetic trait and children who have the disease. Finger stick is a common method used to collect blood samples, especially in pediatric patients, for various tests.
You are evaluating a 6-year-old child with ALL on interim maintenance phase who has frequent mucositis and myelosuppression that needs frequent discontinuation of his treatment. Of the following, the MOST valuable test for this child is
- A. complete blood count
- B. pharmacogenetic testing of the thiopurine S-methyltransferase (TPMT) gene
- C. renal function test
- D. bone marrow study
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 6-year-old child complains of bilateral thigh pain, motor weakness, and some sensory deficits of both lower limbs; he has a history of bladder dysfunction over the past 2 weeks; MRI of the spinal cord shows a mass arising from the filum terminale and conus medullaris causing some pressure effect. A CNS tumor is suspected. Which of the following tumor is MOST likely arising in such site?
- A. medulloblastoma
- B. anaplastic astrocytoma
- C. myxopapillary ependymoma
- D. choroid plexus carcinoma
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which child is at risk for developing glomerulonephritis?
- A. A 3-year-old who had impetigo 1 week ago.
- B. A 5-year-old with five UTIs in the previous year.
- C. A 6-year-old with new-onset type 1 diabetes.
- D. A 10-year-old recovering from viral pneumonia.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.