The nurse is providing discharge instructions to a client diagnosed with postoperative tonsillectomy and adenoidectomy. Which discharge instructions would the nurse include? Select all that apply

Question

A) Postoperative bleeding most frequently occurs in the hours after surgery.
B) Avoid carbonated fluids.
C) Gradually increase fluids then add soft foods.
D) Apply an ice collar to the neck area.
E) Gargle with warm saline water.
F) Limit pain medications to the nighttime.

Answer 1

B, C, D, E
Feedback:
A client may be at risk for postoperative bleeding for several days following the surgical procedure as the scab may be removed from the surgical site early causing the bleeding. Clients should avoid carbonated beverages and citrus fluids or foods because these agents are caustic to the suture line. The client should gradually increase fluids from thin liquids to thick liquids then soft foods through the recovery process. Applying an ice collar and gargling with saline decreases swelling and aids in preventing infection. Pain medication would be appropriate throughout the day, not just at night.