A 6-year-old child has had a tonsillectomy. The child is spitting up small amounts of dark brown blood in the immediate postoperative period. The nurse should take what action?
a. Notify the health care provider.
b. Continue to assess for bleeding.
c. Give the child a red flavored ice pop.
d. Position the child in a Trendelenburg position.
ANS: B
Some secretions, particularly dried blood from surgery, are common after a tonsillectomy. Inspect all secretions and vomitus for evidence of fresh bleeding (some blood-tinged mucus is expected). Dark brown (old) blood is usually present in the emesis, as well as in the nose and between the teeth. Small amounts of dark brown blood should be further monitored. A red-flavored ice pop should not be given and the Trendelenburg position is not recommended.
You might also like to view...
What does the acronym P-F-A stand for?
a. Purpose-Format-Assessment c. Project-Financial-Analysis b. Purpose-Focus-Approach d. Program-Functional-Analysis
When blood products are prescribed for a client, they must be administered within how many minutes after being obtained from the laboratory refrigerator?
a. 10 c. 45 b. 30 d. 60
The nurse is caring for a newborn and knows that his vision, unlike his hearing, is not fully developed. Which aspect of the child's vision may be similar to his father's vision?
A) Poor color detection B) Visual acuity of 20/100 C) Nearsightedness D) Monocular vision
The nurse predicts that the wound capable of becoming "ideally healed" is a(n)
a. abdominal incision. b. burn scar on the leg. c. cancerous lesion on the inside of the cheek. d. severe acne on the face.