The nurse is reviewing the physician's prescriptions on a child following a tonsillectomy. Which of the following physician prescriptions would the nurse question?
1. Suction the child if coughing.
2. Discharge to home when alert and tolerating fluids.
3. Provide clear cool liquids to the child when awake.
4. Instruct the parent to avoid giving the child milk or milk products.
1
Rationale: Following tonsillectomy, suction equipment should be available, but the child is not suctioned unless there is an airway obstruction. Clear cool liquids are encouraged. Milk and milk products are avoided initially because they coat the throat, causing the child to clear his or her throat and thereby increasing the risk of bleeding. "Discharge to home when alert and tolerating fluids" is an appropriate intervention following tonsillectomy.
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