Difficulty: Medium
Average Score: 77%
Simulated
Passage / Scenario
A 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
A
Rationale
The correct answer is A: Continuous swallowing. This finding indicates hemorrhage because blood pooling in the throat triggers the swallowing reflex. Continuous swallowing may suggest blood loss and the need for further assessment. Blood pressure of 95/56 mm Hg (choice B) is low but alone may not specifically indicate hemorrhage. A heart rate of 54/min (choice C) may be bradycardia but does not definitively point to hemorrhage. Flushing of the face (choice D) is not a typical sign of hemorrhage.