What does a nurse teach an adult male who has had a tonsillectomy?
a. Eat solid food during the first 24 hours.
b. Do not eat or drink anything for the first 24 hours.
c. Apply a heating pad to the neck during the first 24 hours.
d. Avoid coughing and clearing the throat during the first week postoperatively.
D
The nurse should teach the patient to avoid attempting to clear the throat immediately after surgery and to avoid coughing, sneezing, or vigorous nose blowing for 1 to 2 weeks. Maintain IV fluids until the nausea subsides, at which time the patient may begin drinking ice-cold clear liquids. The diet is advanced to custard and ice cream and then to a normal diet as soon as possible. Apply an ice collar to the neck for comfort and to reduce bleeding by vasoconstriction.
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