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The nurse is caring for a child who has just returned from surgery following a tonsillectomy and adenoidectomy. Which action by the nurse is appropriate?

A) Offer ice cream every 2 hours
B) Place the child in a supine position
C) Allow the child to drink through a straw
D) Observe swallowing patterns

1 Answer

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Final answer:

Observing swallowing patterns is an appropriate action for a nurse caring for a child after a tonsillectomy and adenoidectomy. It helps in early detection of potential postoperative complications and ensures cranial nerve function integrity.

Step-by-step explanation:

A nurse caring for a child post tonsillectomy and adenoidectomy should appropriately observe the child's swallowing patterns. This action is crucial as it assists in detecting any potential complications, such as bleeding, obstruction, or difficulty swallowing following the surgical procedure involving the throat and its associated structures.

Tonsils play a significant role in helping children's bodies recognize, destroy, and develop immunity to common environmental pathogens. After surgery, there is typically generalized swelling in the area, and anesthesia may cause a relaxed tongue to partially block the airway, affecting both respiration and swallowing.

The recovery period following a tonsillectomy and adenoidectomy is a critical time for monitoring, as there is an increased risk for postoperative bleeding and respiratory complications due to swelling and the effects of anesthesia. The nurse's vigilance in observing swallowing patterns can detect early signs of these complications, ensuring prompt intervention if needed. Moreover, the nurse's observation helps evaluate the integrity of cranial nerves associated with swallowing post-anesthesia.

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