The mother of a 2-1/2-year old child who has had tonsillitis asks about the possibility of a tonsillectomy for the child. The nurse informs the mother that tonsillectomies are usually performed when the child is over 3 years old
The mother wants to know why children younger than 3 have to wait for a tonsillectomy. Which of the following is the nurse's best answer? a. "Surgery is too difficult on a younger child, because their mouths are so small, making it difficult to get to the tonsils."
b. "It is too scary for younger children, and they don't understand what is happening."
c. "Younger children are more prone to excessive blood loss and the tonsils growing back."
d. "Separation from the parents or caregivers is much more difficult in the child under 3."
C
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A Incorrect. The nurse's best answer has nothing to do with the difficulty of reaching the tonsils for their removal.
B Incorrect. The nurse's best answer has nothing to do with how scary it is or that they cannot understand what is happening.
C Correct. Tonsillectomies are performed on children over 3 years of age since excessive blood loss is more apt to occur in younger children. Also, there is a potential for the tonsils to grow back or other lymphoid tissue to hypertrophy when the surgery is performed on the very young.
D Incorrect. The nurse's best answer is not the issue of early separation from the parents or caregivers.
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