ATI RN Paediatrics Nursing Proctored Exam 2023
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?
Explanation & Rationale
A. A heart rate of 54/min could be within normal limits for a child, particularly during sleep, and is not an indicator of hemorrhage. B. Flushing of the face is not typically an indication of hemorrhage, though it could be related to other post-operative factors. C. Blood pressure of 95/56 mm Hg is within normal range and does not suggest hemorrhage. D. Continuous swallowing following a tonsillectomy and adenoidectomy can indicate bleeding at the surgical site. This is a priority finding and requires immediate attention.
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