Certified Pediatric Nurse (CPN) Practice Exam 2025 - Free CPN Practice Questions and Study Guide

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Which statement indicates that an 8-year-old boy recovering from a tonsillectomy needs emergent evaluation?

He is sleeping but appears to be swallowing a lot

The statement indicating that an 8-year-old boy recovering from a tonsillectomy needs emergent evaluation is the one where he is described as sleeping but appears to be swallowing a lot. After a tonsillectomy, excessive swallowing can be a sign of significant bleeding. This occurs because the swallowing reflex may be stimulated in response to fresh blood in the throat, which can be a critical situation requiring immediate medical attention. Recognizing this symptom as a potential indication of bleeding is essential in pediatric nursing, as it may necessitate prompt intervention to manage possible complications.

The presence of coffee-colored emesis, while concerning, is often associated with old blood and may not indicate an active bleeding situation requiring emergency care. Similarly, a complaint of increased throat pain and general lethargy can be typical in a postoperative recovery phase and may not need immediate attention unless other signs suggest a more serious issue.

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He just has coffee colored emesis

He is complaining that his throat hurts more now than earlier today

He is still not back to himself, just wants to sleep and be left alone

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