A nurse is closely monitoring a pediatric client following a tonsillectomy. Which finding would alert the nurse to a postoperative complication?
Dry mouth
Reports of mild to moderate pain
Dried flecks of blood in oral secretions
Frequent swallowing
The Correct Answer is D
Rationale:
A. Dry mouth is expected postoperatively, especially if the child is not drinking adequate fluids, but it is not a sign of a complication.
B. Mild to moderate pain is expected after a tonsillectomy and should be managed with analgesics.
C. Dried flecks of blood in oral secretions can be normal immediately after surgery, but active bleeding would be concerning.
D. Frequent swallowing is a sign of possible postoperative bleeding, which is a serious complication that requires immediate evaluation and intervention.
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Correct Answer is D
Explanation
Rationale:
A. While explaining discharge instructions is important, it is not the immediate priority following cast application.
B. Educating the client to elevate the leg is important to reduce swelling, but it is not the first priority.
C. Administering pain relief is necessary, but assessing circulation, sensation, and movement is more critical to identify any early signs of complications.
D. Performing a neurovascular assessment is the priority action because it ensures that there is no compromise to blood flow, sensation, or movement in the affected limb, which could indicate complications such as compartment syndrome.
Correct Answer is C
Explanation
Rationale:
A. Reduced intellectual processing is not typically associated with hyperthyroidism; it is more commonly associated with hypothyroidism.
B. Slow, lethargic movements are more indicative of hypothyroidism rather than hyperthyroidism.
C. Recent weight loss is a common symptom of hyperthyroidism due to increased metabolic rate and appetite changes.
D. A swollen, protuberant abdomen is not a typical symptom of hyperthyroidism. It is more associated with other conditions such as hypothyroidism or gastrointestinal issues.