Difficulty: Medium
Average Score: 81%
Simulated
Passage / Scenario
5-year-old child following a tonsillectomy and adenoidectomyA 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?
Correct answer
C
Rationale
The correct answer is C: Continuous swallowing. Following a tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage as the child may be experiencing blood trickling down the throat. This sign is crucial to identify early to prevent further complications.
A: Heart rate of 54/min is below normal but not necessarily indicative of hemorrhage.
B: Flushing of the face is not a specific sign of hemorrhage.
D: Blood pressure of 95/56 mm Hg is within normal range for a 5-year-old child and not a direct sign of hemorrhage.
A: Heart rate of 54/min is below normal but not necessarily indicative of hemorrhage.
B: Flushing of the face is not a specific sign of hemorrhage.
D: Blood pressure of 95/56 mm Hg is within normal range for a 5-year-old child and not a direct sign of hemorrhage.