Reference no: EM133708943

Question

1300 - The child has returned to the unit following the tonsillectomy and adenoidectomy procedure. They are drowsy but easily arousable, parent is at the bedside. Vital signs are temperature 37.33° C (99.2° F), pulse 120/min, respirations 26/min, BP 110/68, oxygen saturation is 95% on room air. The child rates throat and ear pain as a 9 on a scale of 0 to 10 using the FACES Scale. Lungs are clear on auscultation with respirations even and unlabored. S1 and S2 noted with regular rhythm. Which of the following actions should the nurse implement? (Select all that apply.) Apply oxygen at 2L via nasal cannula. Maintain semi-Fowler's positioning while awake. Encourage child to cough and deep breathe. Inspect the throat for bleeding. Suction clots that form in the back of the throat. Encourage child to play in the activities room. Apply an ice collar to the child's neck. Administer 320 mg acetaminophen elixir PO every 4 hours as prescribed.