The nurse is taking care of a child who had a tonsillectomy. During the postoperative period, the nurse should observe the child for which clinical manifestation?
1. Arrhythmias
2. Dehydration
3. Increased blood sugar
4. Increased urinary output
2
Rationale 1: Unless the child has a heart condition prior to surgery, arrhythmias is not a possible postoperative complication
Rationale 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.
Rationale 3: Increased blood sugar will result only if the child is a diabetic.
Rationale 4: Increased urinary output is not an expected complication of surgery.
Global
You might also like to view...
A patient has acute anxiety related to an automobile accident 2 hours ago. The patient needs teaching about drugs from which group?
a. Tricyclic antidepressants b. Antipsychotic drugs c. Antimanic drugs d. Benzodiazepines
When selecting one topic for exploration from among several possible topics presented by a client, the nurse is using which one of the following therapeutic communication techniques?
a. Clarifying b. Focusing c. Interpreting d. Validating
Assessment of a pregnant client reveals that she has tested positive for a sexually transmitted infection (STI). The nurse understands that the client's newborn is at risk for which of the following?
A) Diabetes B) Hypertension C) Neurologic damage D) Low birthweight
A 4-year-old child asks her parent what dying means. A child this age:
a. Normally does not ask about death b. Should be given a detailed explanation c. May view death as a kind of sleep d. Should be discouraged from discussing this topic