The healthcare provider is providing postoperative care to a 4-year-old child who underwent tonsillectomy. The provider notices that the child is frequently swallowing. What should the provider do first?

Correct Answer: A

Rationale: In this scenario, the correct first action for the healthcare provider to take when noticing a 4-year-old child frequently swallowing post-tonsillectomy is option A) Check the child's throat for signs of bleeding. This is crucial because frequent swallowing could indicate bleeding, a potential complication post-tonsillectomy. Checking the throat allows the provider to assess for any signs of bleeding such as fresh blood or increased oral secretions. The other options are incorrect for the following reasons: B) Offering the child ice chips to soothe the throat may provide temporary relief but does not address the potential underlying issue of bleeding. C) Elevating the head of the child's bed is a general comfort measure and does not directly address the specific concern of potential bleeding post-tonsillectomy. D) Administering prescribed pain medication is important for postoperative pain management but should not be the first action when there is a suspicion of bleeding. In a pediatric nursing context, it is essential for healthcare providers to prioritize assessment and intervention based on potential complications, especially in the immediate postoperative period. Recognizing and responding promptly to signs of bleeding can prevent further complications and ensure the child's safety and well-being.

Correct Answer: A

Rationale: Assessing tube placement is critical before initiating a tube feeding to verify its correct positioning in the stomach. This assessment helps prevent potential complications such as aspiration if the tube is incorrectly placed in the respiratory tract. Checking bowel sounds, abdominal circumference, and tube patency are important assessments in the care of a child receiving tube feedings, but ensuring proper tube placement takes precedence to ensure safe and effective delivery of nutrition.

Correct Answer: C

Rationale: Labored breathing is a critical sign of worsening respiratory distress in children with RSV. It indicates that the child's condition may be deteriorating, requiring prompt intervention to ensure adequate oxygenation and prevent respiratory failure. Monitoring for labored breathing allows healthcare providers to promptly assess and manage the child's respiratory status, potentially preventing further complications associated with RSV infection.

Correct Answer: B

Rationale: The priority intervention for a 5-year-old child with leukemia receiving chemotherapy and having a low white blood cell count is to place the child in protective isolation. This intervention helps reduce the risk of infection, which is crucial in this immunocompromised state. Protective isolation aims to limit the child's exposure to pathogens and promote their safety during a period of increased vulnerability to infections.

Correct Answer: B

Rationale: Rationale: The correct answer is option B) "Our child should avoid all sugary foods and drinks." This statement indicates a need for further teaching because in type 1 diabetes, it is not necessary to completely avoid sugary foods and drinks. Instead, the child should learn how to manage their blood sugar levels through insulin administration and monitoring. Option A) "We should rotate injection sites to prevent tissue damage" is a correct statement as it is essential to rotate injection sites to prevent lipohypertrophy and tissue damage. Option C) "We will monitor blood glucose levels regularly" is also a correct statement as regular monitoring is crucial in managing type 1 diabetes effectively. Option D) "Our child needs to wear a medical alert bracelet" is another correct statement as wearing a medical alert bracelet can inform others about the child's condition in case of emergencies. Educationally, it is important for parents of children with type 1 diabetes to understand the nuances of managing the condition, including the role of diet, insulin administration, monitoring blood glucose levels, and the importance of medical identification. Providing accurate information empowers parents to support their child in effectively managing their diabetes.