NCLEX-PN Practice Q 6

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The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?

  

     A. Reluctance to swallow

     B. Drooling of blood-tinged saliva

     C. An axillary temperature of 99°F

     D. High-pitched sound when breathing

    

    

Correct Answer: D. High-pitched sound when breathing

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Options D: One complication from a tonsillectomy is respiratory stridor (a high-pitched sound) which is a sign of airway obstruction and is considered to be an emergency.

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Options A, B, and C: These are expected findings following a tonsillectomy.

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