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    ATI PN Paediatrics Nursing Proctored Exam 2023

    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 rationaleApplying an ice collar provides localized cooling, reducing postoperative swelling and discomfort. The cold restricts blood flow and inflammation at the surgical site, improving healing. Ice therapy minimizes pain through nerve desensitization, aiding recovery and child comfort. This method aligns with evidence-based practices for managing postoperative symptoms.Choice B rationaleProviding cherry fruit juice is inappropriate due to its acidic content, which may irritate the tonsillectomy site, delaying healing. Acidic beverages can exacerbate pain and interfere with tissue repair. Postoperative diets should prioritize non-acidic, soothing liquids for optimal recovery.Choice C rationaleEncouraging straw use increases suction force in the mouth, which can disrupt blood clot formation and trigger bleeding at the surgical site. Using cups or spoons for fluid intake eliminates suction risks, promoting clot stability and healing post-tonsillectomy.Choice D rationaleCoughing and deep breathing are contraindicated due to potential strain on the tonsillectomy site, increasing risk of bleeding or delayed recovery. Such actions elevate pressure in the surgical area, compromising clot stability. Rest and gentle care ensure smoother postoperative healing.

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