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Tonsillectomy is illustrated by the image of the tassels being removed by a scalpel. A tonsillectomy, or removal of the tonsils, is indicated in patients who experience recurrent tonsillitis, shown by the recurrent-clock with tassels on fire. After surgery, saline gargles, depicted by the saline-sail gargling, and ice chips, shown literally by the ice chips in the mouth, may be given to help lessen the patient&rsquo;s discomfort. Due to the risk of hemorrhage, it is crucial to&nbsp;monitor the patient for bleeding, depicted by the monitor with bleeding mouth, especially within the first 24 hours after surgery, shown by the within 24 hour clock. After 5 to 7 days&nbsp;following the initial operation, shown by the (5) hand to lucky (7) with day calendar, patients may begin to notice minor bleeding seen as bloody mucus or saliva as tissue sloughs from the surgical site. The patient should begin by eating&nbsp;soft foods, shown by the soft-serve sorbet. Dairy products such as ice cream and pudding are not recommended as these generate phlegm, which may cause patients to cough or clear their throat, and patients are strongly advised to not cough, clear their throat, or blow their nose if at all possible in order to avoid causing trauma to the surgical site. This is shown by the straw shouting &ldquo;NO&rdquo; to the coughing-coffee, clearing throat, and blowing nose characters. The straw yelling &ldquo;NO&rdquo; represents that patients should not use straws after a tonsillectomy. So let&rsquo;s review the surgical procedure known as a tonsillectomy, which is indicated for patients who experience recurrent tonsillitis. To ease throat discomfort after surgery, patients may gargle with warm saline or eat ice chips. It is important to closely monitor for bleeding during the first 24 hours after surgery, however minor bleeding may be experienced 5 to 7 after surgery when tissue sloughs from the surgical site. The patient should first be introduced to soft foods, and be encouraged to not cough, clear their throat, blow their nose, or use straws during the postoperative period, as these activities may cause bleeding.

educational

story

tonsillectomy.png

tassels removed by scalpel.png

Tassels removed by scalpel

Tonsillectomy

Indications

recurrent clock with tassels on fire.png

Recurrent-clock with Tassels-on-fire

Recurrent Tonsillitis

Considerations

saline sail gargling.png

Saline-sail Gargling

Saline Gargles

What is most likely a consideration in post-tonsillectomy care?

ice chips.png

Ice Chips

monitor with bleeding.png

Monitor with Bleeding

Monitor for Bleeding

within 24 hr clock.png

Within 24 hr clock

Within 24 Hours

What is a high risk time frame for bleeding post-tonsillectomy?

5 hand to lucky 7 with day calendar.png

(5) Hand to Lucky (7) with Day-calendar

After 5-7 days

soft serve sorbet.png

Soft-serve Sorbet

Soft Foods

no coughing coffee clearing throat for blowing nose.png

No Coughing coffee, Clearing throat, or Blowing Nose

Do Not Cough, Clear Throat, or Blow Nose

no straws.png

No Straws

Do Not Use Straws

Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

The tassels strip club had to be closed down, it's tassels removed by a scalpel from the city, because all the patrons were lining up outside with recurrent cases of tonsillitis, as their own tassels were bursting into flames. &nbsp;They extinguished the flames with saline gargles, and went sailing in search of a new past time. Along this cold journey across the sea, they would break chips from ice burgs, as it felt nice compared to a mouth full of inflammation. &nbsp; They finally arrived at the destination across the sea. &nbsp;A place that catered to their next favorite vice, as the strip club was closed. &nbsp;A casino. &nbsp;A soon as they landed, a monitor checked their mouthes for bleeding within the 24 hr casino. &nbsp;They played with their (5) hands at the lucky (7) slot machines for for 5 to 7 days, monitored for bleeding and winning soft-serve sorbet all the while. &nbsp;Still, they had a hard time leaving their old habits behind. &nbsp;They would cough and spill coffee to get the attention of ladies at the bar. &nbsp;When that didn't work, they would clear their throat. &nbsp;And when all else had failed, they got a little grabby and got slapped. &nbsp;This left them walking away sobbing and blowing their noses. &nbsp; Each of these actions, coughing, clearing their throats and blowing their noses carried a risk of making them bleed again. &nbsp;But they just had to learn the hard way not to use straws&nbsp;like that.

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Picmonic NCLEX Question of the Day 02/02/2021

Picmonic NCLEX® Question of the Day

Twelve-year-old Susie Q has just had a tonsillectomy and is begging for something to eat twelve hours after her surgery. Which food item would be appropriate to offer her?

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