A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy.Which of the following actions should the nurse take?
Explanation & Rationale
Choice A rationaleProviding cherry fruit juice is not recommended for a child immediately postoperative following a tonsillectomy. Red-colored fluids can be mistaken for blood if the child vomits, making it difficult to assess for postoperative bleeding. Clear or light-colored fluids are preferred.Choice B rationaleReminding the child to cough and deep breathe is not appropriate immediately postoperative following a tonsillectomy. Coughing can dislodge clots and increase the risk of bleeding at the surgical site. Encouraging gentle breathing exercises may be more suitable.Choice C rationaleEncouraging the child to use a straw is not advised following a tonsillectomy. The use of a straw can create negative pressure in the mouth and throat, which may disrupt the surgical site and increase the risk of bleeding. Sipping from a cup is preferred.Choice D rationaleApplying an ice collar can help reduce pain and swelling in the throat area following a tonsillectomy. Cold therapy is effective in providing comfort and minimizing inflammation, making it a beneficial intervention for postoperative care. .