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    Ati nurs 225 maternal newborn proctored exam

    The nurse is caring for a 4-year-old child who is post tonsillectomy. The nurse includes which of the following assessments with the child's post- operative care and vital signs?

    Explanation & Rationale

    Rationale: A. Observing for hyperactivity is not a primary concern after a tonsillectomy; changes in behavior are less relevant than signs of bleeding. B. Monitoring for frequent swallowing is critical because it can indicate postoperative bleeding in a child who has undergone a tonsillectomy. Early detection is essential for prompt intervention. C. Obtaining the child’s weight and BMI is not a priority in immediate postoperative care and does not indicate complications from surgery. D. Assessing bowel sounds is important for overall postoperative assessment but is not specific to tonsillectomy care or early detection of bleeding.

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