Following tonsillectomy surgery, the nurse will assess the patient for:
A) Difficulty ambulating
B) Frequent swallowing
C) Decrease in temperature
D) Bradycardia
Ans: B
Feedback: Hemorrhage is a potential complication of a tonsillectomy; a patient may swallow frequently due to bleeding. Increased pulse, fever, and restlessness may also indicate a postoperative hemorrhage.
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a. Administer bronchodilators. b. Apply low-flow oxygen. c. Encourage coughing and deep breathing. d. Administer pain medication.
What are the possible consequences for the fetus if the mother smokes during pregnancy?
a. Higher incidence of premature birth b. Higher incidence of lower birth weights c. Higher incidence of elevated estrogen levels d. More likely to have episodes of apnea e. Higher risk for being abused f. Higher incidence of sudden infant death syndrome (SIDS)
When planning care for adolescents, the nurse should:
a. teach parents first, and they, in turn, will teach the teenager. b. provide information for their long-term health needs because teenagers respond best to long-range planning. c. maintain the parents' role by providing ex-planations for treatment and procedures to the parents only. d. give information privately to adolescents about how they can manage the specific problems that they identify.
Universal nursing interventions that are performed by most nurses in most settings
1. Anticipatory guidance. 2. Circulatory care. 3. Documentation. 4. Environmental management (safety). 5. Client rights protection.