A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Continuous swallowing.
Blood pressure 95/56 mm Hg.
Heart rate 54/min.
Flushing of the face.
The Correct Answer is A
Choice A rationale
Continuous swallowing can be an indication of hemorrhage following a tonsillectomy and adenoidectomy. This is because the child may be swallowing blood that is coming from the surgical site.
Choice B rationale
Blood pressure of 95/56 mm Hg is within the normal range for a 5-year-old child and does not specifically indicate hemorrhage.
Choice C rationale
A heart rate of 54/min is lower than the normal range for a 5-year-old child and may indicate bradycardia, but it is not a specific sign of hemorrhage.
Choice D rationale
Flushing of the face is not a specific sign of hemorrhage. It may indicate other conditions but is not typically associated with bleeding following a tonsillectomy and adenoidectomy.
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Correct Answer is B
Explanation
Choice A rationale
Semi-Fowler’s position is not suitable for a lumbar puncture as it does not provide the necessary spinal flexion.
Choice B rationale
The lateral position is ideal for a lumbar puncture as it allows for proper spinal alignment and access to the lumbar region.
Choice C rationale
Supine position is not appropriate for a lumbar puncture as it does not provide the necessary spinal flexion.
Choice D rationale
Prone position is not suitable for a lumbar puncture as it does not allow for proper access to the lumbar region.
Correct Answer is B
Explanation
Choice A rationale
Prednisolone can cause hypertension, not hypotension.
Choice B rationale
Prolonged wound healing is a known side effect of corticosteroids like prednisolone due to their immunosuppressive effects.
Choice C rationale
Renal failure is not a common side effect of prednisolone.
Choice D rationale
Stevens-Johnson syndrome is not commonly associated with prednisolone.