Tonsilectomy test question....

I think I would go with B, the fact that it specifies "bright red bleeding" makes me want to investigate further. Although, A tempts me, since with Tonsilectomies frequent swallowing can be a sign of hemmorhage.

B. All the way..

Bright red blood would make you want to call the surgeon..The other two, not soo much. There will be pain when he swallows for a little while that is normal and kids can sleep/fall asleep through anything, so that wouldnt be a huge warning sign either.

i'm going with b, although i'd be very concerned with excess bleeding.

the question doesn't say how much blood.

spotting is ok but needs monitoring.

leslie

B, most certainly. Pain while swallowing is a normal finding following this surgery, and it's really not that unusual for post surgical patients to fall asleep while you're talking to them.

Bleeding is a possible Airway issue, and needs to be addressed.

I say B also. Pain and drowsiness are normal occurrences with this type of surgery. ~Ivanna

You are reading way too much into the answers the child is sleeping thats all. Not apneic and is sleeping, just sleeping (good pain control). B is your obvious choice as this is an arterial bleed and the patient might need immediate surgical intervention to cauterize the bleeding.

Yep...B

Drowsiness is common immediately after surgery.

Pain is normal finding s/p tonsillectomy due to nature of the surgery.

Bright red blood in emesis means bleeding is occuring and warrants further investigation. That can compromise airway and decrease in H&H.

answer would be b- bright red blood indicates active bleeding and airway complications so there are the abc's we are taught to use !

a- naturally sore after surgery

c- falling alseep is noraml after being sedated from surgery, plus the pain meds could cause drowzynes.

at least these are my thouoghts on how to answer.

but now that i have researched my suanders rn review and the section on tonsillectomy, the following is listed

interventions postoperatively'

1. postion prone or side-lying to facilitate drainage.

2. have suction equipment available, but do not suction unless airway is obstructed.

3. monitor for signs of hemorrhage ( frequent swallowing may indicate hemorrhaging)

10 . instruct parents to notify physician if bleeding, persistent earache, or fever occurs.

list 11 interventions to do.

so now i would have to say a, don't you just love nursing exams?!!:banghead:

goes all the way to 11 interventions.

answer b!

after i posted my previous reply and re-read the whole question and answers again.

got carried away with my research and forgot what the a answer was.

i'm tired, time for bed, nope more all nurse's cause i am addicted!

Well, it doesnt say "frequent swallowing". It says PAIN when swallowing...big difference. You have to read EVERY word. I soooooo dont miss nursing exams!

"PT c/o pain in hes throat when he swallows."

The question doesn't state that the child swallows constantly, but says that there is a pain when child swallows--it's about having a pain, not about how often the pt swallows.And pain is an expected symptom after tonsillectomy.

I'm with all the others, B.

Always remember airway, airway, airway comes first.!!

:typing