Basic Care and Comfort NCLEX PN Questions Nursing Practice Question
The LPN is caring for a 32-year-old female client who is 8 hours post-op after a tonsillectomy. Which of these would be an appropriate action taken by the nurse?
Correct Answer: A
Rationale: Informing the client that ear pain may occur and is normal is appropriate, as referred pain is common after a tonsillectomy due to the shared nerve pathways. This helps prepare the client for potential discomfort.
Providing ice water and a straw (Option B) is incorrect since straws can create suction, potentially causing bleeding. Hot tea (Option C) is inappropriate as hot liquids can irritate the throat post-surgery. Monitoring vitals every 15 minutes (Option D) is excessive unless there are complications; typically, vital signs are monitored less frequently after stable surgeries.