A 7-year-old boy is returned to the unit after a tonsillectomy. The child is ordered to be placed in prone position until he regains consciousness. Before discharge, the nurse caring for the child gives which of the following instructions to the child’s parents?
  1. Offer clear fluids.
  2. Offer milk or any non-acidic fluids.
  3. Assist the child in performing deep breathing and coughing exercises.
  4. Let the child use a straw when drinking.
Explanation
Answer: A - The parents are instructed to offer clear fluids. The child must be started on a clear diet and then advance to soft foods such as applesauce and pudding. Milk can thicken secretions, requiring more throat clearing. Coughing, clearing of throat, and sneezing should be avoided. Using a straw requires suction, which can dislodge the clot.
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