A child who is in the first postoperative day after a tonsillectomy starts to cough and wants to blow his nose. Which of the following actions by the nurse would be best?
a. Offer the child some tissue, and give instructions on its disposal.
b. Remind the child not to cough or blow his nose.
c. Tell him he can cough but not to blow his nose.
d. Inform the child that he can blow his nose but not cough.
B
Feedback
A Incorrect. Postoperatively, once fully awakened, the nurse does not offer the child some tissue, and give instructions on its disposal.
B Correct. Postoperatively, once fully awakened, the nurse reminds the child not to cough often or not to blow their nose, as this can disrupt an operative clot and cause bleeding.
C Incorrect. Postoperatively, once fully awakened, the nurse does not inform the child that he can cough but not blow his nose, instead recommends he do neither.
D Incorrect. Postoperatively, once fully awakened, the nurse does not inform the child that he can blow his nose but not cough, instead recommends he do neither.
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