Which is the priority nursing assessment for a pediatric client who is postoperative for tonsillectomy?
1. Arrhythmias
2. Dehydration
3. Increased blood sugar
4. Increased urinary output
2
Explanation:
1. Unless the child has a heart condition prior to surgery, arrhythmias is not a possible postoperative complication
2. The child is at risk for dehydration due to deficient fluid volume related to inadequate intake after surgery. The child will anticipate having pain if she tries to swallow.
3. Increased blood sugar will result only if the child is a diabetic.
4. Increased urinary output is not an expected complication of surgery.
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