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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?

 

A.

Continuous swallowing.

B.

Blood pressure 95/56 mm Hg.

C.

Heart rate 54/min.

D.

Flushing of the face.

Answer and Explanation

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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View Related questions

Correct Answer is B

Explanation

Choice A rationale

This statement is nontherapeutic because it shifts the focus away from the patient and onto the nurse’s personal experience. It can minimize the patient’s feelings and is not helpful in providing support.

Choice B rationale

Asking the patient to demonstrate how they give themselves insulin is a therapeutic communication technique. It shows interest in the patient’s self-care practices and provides an opportunity for the nurse to offer guidance and support.

Choice C rationale

This statement is nontherapeutic because it offers false reassurance. It does not address the patient’s concerns or provide any real support.

Choice D rationale

This statement is also nontherapeutic because it offers false reassurance and does not address the patient’s specific concerns or needs.

Correct Answer is A

Explanation

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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