A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include?

This scenario involves postoperative nursing care following a pediatric tonsillectomy. Successful discharge education requires applying knowledge of potential surgical complications, specifically hemorrhage risks. Identification of subtle signs like frequent swallowing is critical to prevent hypovolemic shock and ensure patient safety. Choice A rationale Clearing the throat increases pharyngeal pressure and mechanical friction against the surgical site. This action can dislodge established clots and initiate secondary hemorrhage. Proper healing requires resting the surgical area and avoiding any forceful upper respiratory maneuvers. Choice B rationale Frequent swallowing is a hallmark sign of early or late postoperative bleeding. Blood trickling down the posterior pharynx triggers the swallowing reflex. Assessing for this behavior allows for rapid intervention before the child loses a significant volume. Choice C rationale Using a straw creates negative pressure within the oral cavity during suction. This vacuum effect can pull on the surgical scabs and cause premature sloughing of the tissue. Fluids should be offered via a cup or spoon. Choice D rationale Old blood that is dark brown or dried is a normal finding after tonsillectomy. It indicates that previous bleeding has successfully clotted and is not an emergency. Only bright red, active bleeding requires immediate notification of providers.